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Riverside Nursing - Centralia LLC

NPI 1952475485ActiveOrganization· Skilled Nursing Facility· Centralia, WA

Skilled Nursing Facility in Centralia, Washington, registered in NPPES in November 2006. The authorized official on file is Dov E. Jacobs, Manager.

Overview

NPI1952475485
StatusActive
Entity typeOrganization
NPI issuedNov 17, 2006
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Centralia

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