Provider Demographics
NPI:1730295403
Name:RIVINGTON HOUSE HEALTHCARE FACILITY
Entity Type:Organization
Organization Name:RIVINGTON HOUSE HEALTHCARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MISS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-337-5600
Mailing Address - Street 1:45 RIVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-1304
Mailing Address - Country:US
Mailing Address - Phone:212-477-9100
Mailing Address - Fax:212-337-5839
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:212-337-5600
Practice Address - Fax:212-337-5839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE CENTTER FOR CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-22
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0222293336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy