River Garden Hebrew Home For The Aged in Jacksonville - Parenteral & Enteral Nutrition
River Garden Hebrew Home For The Aged - NPI 1669479192
River Garden Hebrew Home For The Aged is a Parenteral & Enteral Nutrition in Jacksonville, Florida. River Garden Hebrew Home For The Aged practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. 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 |
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Address | 11401 Old Saint Augustine Rd, Jacksonville, Florida |
Phone Number | 9042601818 |
Fax Number | 9042609733 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Goetz Alan Martin |
Credentials | MS, MPA, N |
Telephone Number | 9042601818 |
NPI Number Detail
NPI Number | 1669479192 |
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Provider Enumeration Date | 2005-06-30 |
Last Updated Date | 2022-09-23 |
Provider Mailing Address Detail
Address | 11401 Old Saint Augustine Rd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322581402 |
Phone Number | 9042601818 |
Fax Number | 9042609733 |
Provider's Primary Taxonomy Detail
Speciality | Parenteral & Enteral Nutrition |
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Taxonomy | 332Bp3500X |
Licence No | SNF1476096 |
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
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 Parenteral & Enteral Nutrition, and the taxonomy code that classifies this field of practice is 332Bp3500X.
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.