OrganizationActive
Diversicare of Riverside, LLC
NPI 1669887352 · Skilled Nursing Facility · Saint Joseph, MO
Provider details
- NPI number
- 1669887352
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Diversicare Leasing Company II, LLC
- Organization subpart
- Yes
- Authorized official
- Matthew Weishaar, Chief Financial Officer(615) 771-7575
- License
- 042402 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1616 Weisenborn Rd
Saint Joseph, MO 64507-2527
Phone: (816) 232-9874
Fax: (816) 364-4283
Street-level locationGet directions
Mailing address
1616 Weisenborn Rd
Saint Joseph, MO 64507-2527
Other names (DBA / former)
- Doing business as
- Riverside Place
- Doing business as
- Riverside Place
Registry dates
- Enumerated
- 2014-06-22
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.