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NPI Code Detail

MEDICARE: BH WEST RIVER LLC

MEDICARE: BH WEST RIVER 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1669212817
Entity Type Code : Organization
Provider Name (Legal Business Name) : BH WEST RIVER LLC
Provider Business Mailing Address
First Line : 317 S LITTLE TOR RD
Second Line :
City : NEW CITY
State : NY
Zip : 10956-1431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 245 ORANGE AVE
Second Line :
City : MILFORD
State : CT
Zip : 06461-2104
Country : US
Telephone Number : 203-876-5123
Fax Number :
Authorized Official
Title or Position : OWNER
Name : YEHUDA PEPPER
Credential :
Telephone Number : 203-876-5123
Provider Enumeration Date : 05/27/2024
Last Update Date : 01/09/2025

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Directions to “BH WEST RIVER LLC ” Practice Location

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