Provider Demographics
NPI:1114515772
Name:RIVER CARE THERAPY
Entity Type:Organization
Organization Name:RIVER CARE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATER
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMENKRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-768-1361
Mailing Address - Street 1:12 SPECTRUM CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2914
Mailing Address - Country:US
Mailing Address - Phone:347-768-1361
Mailing Address - Fax:
Practice Address - Street 1:12 SPECTRUM CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2914
Practice Address - Country:US
Practice Address - Phone:347-768-1361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency