Provider Demographics
NPI:1053103598
Name:RIVERCESS HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:RIVERCESS HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELCONTEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEKIAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-599-3006
Mailing Address - Street 1:4781 SUMMERTIME LN
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-6299
Mailing Address - Country:US
Mailing Address - Phone:678-599-3006
Mailing Address - Fax:
Practice Address - Street 1:4781 SUMMERTIME LN
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-6299
Practice Address - Country:US
Practice Address - Phone:678-599-3006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty