Organization
RIVERHEAD CARE CENTER LLC
Active
Other names
Riverhead Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN MANGELS LNHA (ADMINISTRATOR)
(631) 727-4400
Entity
Organization
Contact information
Practice address
1146 WOODCREST AVE, RIVERHEAD, NY 11901-2016
(631) 727-4400
(631) 727-7223
Mailing address
1146 WOODCREST AVE, RIVERHEAD, NY 11901-2016
(631) 727-4400
(631) 727-7223
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5155301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0941
PFI NUMBER
NY
05
—
5155301N
—
NY
Enumeration date
09/30/2005
Last updated
01/16/2019
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