# JEWISH HOME ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Habayta Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548875172
- **Authorized official:** BRANDY STEFANCO (CFO)
- **Authorized official phone:** (201) 784-1414

## Contact information

- **Practice address:** 685 WESTWOOD AVE, RIVER VALE, NJ 07675-6335
- **Practice address phone:** (201) 666-2370
- **Practice address fax:** (201) 664-7111
- **Mailing address:** 685 WESTWOOD AVE, RIVER VALE, NJ 07675-6335
- **Mailing address phone:** (201) 666-2370
- **Mailing address fax:** (201) 664-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 09/10/2020
- **Last updated:** 04/24/2024