Healthcare Provider Details

I. General information

NPI: 1114872041
Provider Name (Legal Business Name): RIVER FALL AH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 COLUMBIA ST
FALL RIVER MA
02721-1500
US

IV. Provider business mailing address

500 BOULEVARD OF THE AMERICAS 302
LAKEWOOD NJ
08701
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-7960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOE FARKAS
Title or Position: MANAGING MEMBER
Credential:
Phone: 516-229-1636