Provider Demographics
NPI:1578581542
Name:RIVERDALE CENTER FOR NURSING AND REHABILITATION LLC
Entity Type:Organization
Organization Name:RIVERDALE CENTER FOR NURSING AND REHABILITATION LLC
Other - Org Name:HUDSON POINTE AT RIVERDALE CENTER FOR NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTREICHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-705-4801
Mailing Address - Street 1:46 STAUDERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2524
Mailing Address - Country:US
Mailing Address - Phone:516-705-4801
Mailing Address - Fax:
Practice Address - Street 1:3220 HENRY HUDSON PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3211
Practice Address - Country:US
Practice Address - Phone:718-514-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility