Organization Active NPI

Fall River Jewish Home. Inc.

  • Skilled Nursing Facility
  • Fall River, MA
National Provider Identifier
1811983240
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0634 Issued in MA
Legal business name
FALL RIVER JEWISH HOME. INC.
Practice address
538 Robeson St
Fall River, MA 02720-5496
Phone
(508) 679-6172
Fax
(508) 675-6510
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Christine M. Vitale, CNHA , FELLOW
Title
Administrator
Phone
(508) 679-6172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0634 MA Primary

Addresses

Primary practice location

538 Robeson St
Fall River, MA 02720-5496

Mailing address

538 Robeson St
Fall River, MA 02720-5496

Other identifiers 1

IdentifierTypeStateIssuer
0924148MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1811983240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205496",
            "fax_number": "508-675-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 ROBESON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205496",
            "telephone_number": "508-679-6172",
            "fax_number": "508-675-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL RIVER JEWISH HOME. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-679-6172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNHA , FELLOW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924148",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.