CCN: 105016 NPI: 1669479192 Organization

RIVER GARDEN HEBREW HOME FOR THE AGED

11401 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

Contact Information

Phone 9042601818
Fax 9042609733
Enumeration Date 2005-06-30
Last Updated 2026-01-26

Taxonomies

Code: 313M00000X License State: FL License: SNF1476096
Code: 3336L0003X
Code: 332BP3500X License State: FL License: SNF1476096
Code: 333600000X License State: FL License: PH2050
Code: 332BN1400X License State: FL License: SNF1476096
Code: 251E00000X License State: FL License: HHA299991334
Code: 314000000X (Primary) License State: FL License: SNF1476096

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.9998927934

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.9802564842

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.9802538758

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.992

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.980278308

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.9817355674

censusDivision 3

cbsaActualGeographicLocation 27260

providerType 38

vbpAdjustment 0.9806074813

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.