Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Riverside Nursing - Centralia LLC

Skilled Nursing Facility in Centralia, WA · enumerated 2006 · authorized official Dov Jacobs, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952475485

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Registry record

Entity type Organization (Type 2)

Legal business name Riverside Nursing - Centralia LLC

Other name <Unavail>

Practice address 1305 Alexander St, Centralia, WA, 98531

Phone (360) 736-2823

Fax (360) 736-1821

Enumeration date Nov 17, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Dov Jacobs

Title Manager

Phone (323) 678-4426

Other identifiers

Identifier	Type	State	Issuer
4197000	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Where is Riverside Nursing - Centralia LLC located?

The practice location on file with NPPES is in Centralia, WA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.