Provider Demographics
NPI:1609874585
Name:RIVINGTON HOUSE HEALTH CARE FACILITY
Entity Type:Organization
Organization Name:RIVINGTON HOUSE HEALTH CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-337-5760
Mailing Address - Street 1:154 CHRISTOPHER ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2840
Mailing Address - Country:US
Mailing Address - Phone:212-337-5600
Mailing Address - Fax:212-924-7396
Practice Address - Street 1:45 RIVINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-1304
Practice Address - Country:US
Practice Address - Phone:212-539-6200
Practice Address - Fax:212-477-3121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE CARE OF NEW YORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-13
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7002353N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01552056Medicaid
NY01552056Medicaid