Provider Demographics
NPI:1326542929
Name:GANESH BUSINESS GROUP, LLLP
Entity Type:Organization
Organization Name:GANESH BUSINESS GROUP, LLLP
Other - Org Name:RIVERFRONT ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-279-0279
Mailing Address - Street 1:644 CESERY BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-7165
Mailing Address - Country:US
Mailing Address - Phone:904-420-3900
Mailing Address - Fax:
Practice Address - Street 1:644 CESERY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-7165
Practice Address - Country:US
Practice Address - Phone:904-420-3900
Practice Address - Fax:904-420-3905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GANESH BUSINESS GROUP, LLLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care