Provider Demographics
NPI:1801045802
Name:HEBREW HOME FOR THE AGED AT RIVERDALE
Entity Type:Organization
Organization Name:HEBREW HOME FOR THE AGED AT RIVERDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAVITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAMDASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-581-1712
Mailing Address - Street 1:5901 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5901 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1205
Practice Address - Country:US
Practice Address - Phone:718-581-1782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility