P Praxis·MD
● Active Type 2 · Organization

Riverside Assisted Living Llc

Custodial Care Facility·Bainbridge, GA· NPI 1952320111 · Enumerated 2006 · 19 years on NPI
Riverside Assisted Living Llc is 1 of 176 custodial care facility organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-19
Primary specialty
Custodial Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brogdon
Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 176 active custodial care facility providers in Georgia.

NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1151 W College St
Bainbridge, GA 398196400
📞 2292481116fax 2292484115
Mailing address
1151 W College St
Bainbridge, GA 398196400
📞 2292481116fax 2292484115

Authorized official

Christopher Brogdon
Manager
📞 7706507086

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    taxonomy 311ZA0620X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Riverside Place Assisted Living Community
    Type code 3 recorded 2006-07-19

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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