Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Service Group Inc

Organization Case Manager/Care Coordinator · NPI 1346390796

Riverside Service Group Inc is a Case Manager/Care Coordinator in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 River Pkwy
Idaho Falls, ID 83402-3314
Phone: (208) 542-4517
Fax: (208) 528-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X · Licence 805608500 (ID)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 807612600 (ID)

Record details

NPI number1346390796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Hansen — President Ceo · (208) 521-6573
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJune 25, 2010
Mailing address3925 N Ammon Rd, Idaho Falls, ID 83401-1313

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