MEDICARE: RIVER FALL AH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1114872041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER FALL AH

Provider Business Mailing Address
First Line	:	500 BOULEVARD OF THE AMERICAS
Second Line	:	302
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 COLUMBIA ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-1500
Country	:	US
Telephone Number	:	508-324-7960
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JOE FARKAS
Credential	:
Telephone Number	:	516-229-1636

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “RIVER FALL AH ” Practice Location

Language	Start Address	Practice Location

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