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Contact Information

RIVER GARDEN HEBREW HOME FOR THE AGED
11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL32258
 Phone: 904-260-1818
 Fax: 904-260-9733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Adult Day Care

261QA0600X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RIVER GARDEN HEBREW HOME FOR THE AGED

NPI # 1669479192
LBN Legal business name RIVER GARDEN HEBREW HOME FOR THE AGED
Authorized official MAURI MIZRAHI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2005
Last updated 05/13/2026 - About 3 weeks ago
Identifiers
FL License # HHA299991334
FL License # PH2050
FL License # SNF1476096
FL Medicaid 020085900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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