MEDICARE: NORTH RIVER OPERATIONS ASSOC LLC

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	314000000X	Skilled Nursing Facility	4321302N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528516184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH RIVER OPERATIONS ASSOC LLC

Provider Business Mailing Address
First Line	:	4770 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-1104
Country	:	US
Telephone Number	:	718-931-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 S ROUTE 9W
Second Line	:
City	:	HAVERSTRAW
State	:	NY
Zip	:	10927-1700
Country	:	US
Telephone Number	:	845-429-5381
Fax Number	:	845-429-3001

Authorized Official
Title or Position	:	MEMBER
Name	:	KENNETH ROZENBERG
Credential	:
Telephone Number	:	718-931-9700

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	12/31/2019

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