Provider Demographics
NPI:1780493296
Name:RIVERVIEW CARE AT NEW HAVEN, LLC
Entity type:Organization
Organization Name:RIVERVIEW CARE AT NEW HAVEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-759-1371
Mailing Address - Street 1:92 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-4449
Mailing Address - Country:US
Mailing Address - Phone:475-227-3565
Mailing Address - Fax:203-504-7922
Practice Address - Street 1:92 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-4449
Practice Address - Country:US
Practice Address - Phone:475-227-3565
Practice Address - Fax:203-504-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health