River Garden Hebrew Home For The Aged in Jacksonville - Nursing Facility/intermediate Care Facility
River Garden Hebrew Home For The Aged - NPI 1669479192
River Garden Hebrew Home For The Aged is a Nursing Facility/intermediate Care Facility in Jacksonville, Florida. River Garden Hebrew Home For The Aged practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for River Garden Hebrew Home For The Aged is 1669479192. The last update date is 2022-09-23.
River Garden Hebrew Home For The Aged's current location address is 11401 Old Saint Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9042601818 and fax number 9042609733. The mailing address for River Garden Hebrew Home For The Aged is 11401 Old Saint Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | River Garden Hebrew Home For The Aged |
|---|---|
| Address | 11401 Old Saint Augustine Rd, Jacksonville, Florida |
| Phone Number | 9042601818 |
| Fax Number | 9042609733 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Goetz Alan Martin |
| Credentials | MS, MPA, N |
| Telephone Number | 9042601818 |
NPI Number Detail
| NPI Number | 1669479192 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2022-09-23 |
Provider Mailing Address Detail
| Address | 11401 Old Saint Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322581402 |
| Phone Number | 9042601818 |
| Fax Number | 9042609733 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | SNF1476096 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20085900 | FL | -- | |
| 102186900 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to River Garden Hebrew Home For The Aged by the Centers for Medicare & Medicaid Services?
The River Garden Hebrew Home For The Aged has been issued the NPI (National Provider Identifier) 1669479192, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the River Garden Hebrew Home For The Aged's physical address?
The River Garden Hebrew Home For The Aged is physically located at 11401 Old Saint Augustine Rd, in the city of Jacksonville, FL, with the postal code 322581402.
What is River Garden Hebrew Home For The Aged's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for River Garden Hebrew Home For The Aged is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669479192 to River Garden Hebrew Home For The Aged?
The Centers for Medicare & Medicaid Services assigned the 1669479192 to River Garden Hebrew Home For The Aged on 2005-06-30.
When was the River Garden Hebrew Home For The Aged's information last updated?
The River Garden Hebrew Home For The Aged's information was last updated on 2022-09-23.
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