River Garden Hebrew Home for the Aged
NPI 1669479192ActiveOrganization· Skilled Nursing Facility· Jacksonville, FL
Skilled Nursing Facility in Jacksonville, Florida, registered in NPPES in June 2005. The authorized official on file is Mauri Mizrahi, LNHA, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1669479192 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2005 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | SNF1476096 | FL |
| Home Health | 251E00000X | HHA299991334 | FL |
| Clinic/Center, Adult Day Care | 261QA0600X | — | — |
| Nursing Facility/Intermediate Care Facility | 313M00000X | SNF1476096 | FL |
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | SNF1476096 | FL |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | SNF1476096 | FL |
| Pharmacy | 333600000X | PH2050 | FL |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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