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River Garden Hebrew Home for the Aged

Skilled Nursing Facility in Jacksonville, FL · enumerated 2005 · authorized official Mauri Mizrahi, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669479192

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Registry record

Entity type Organization (Type 2)
Legal business name River Garden Hebrew Home for the Aged
Practice address 11401 Old Saint Augustine Rd, Jacksonville, FL, 32258
Fax (904) 260-9733
Enumeration date Jun 30, 2005
Last updated in NPPES May 13, 2026

Taxonomy & classification

251E00000X Home Health Agency Agencies · License HHA299991334 (FL) Secondary
261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License SNF1476096 (FL) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF1476096 (FL) Primary
332BN1400X Nursing Facility Supplies (DME) Suppliers · License SNF1476096 (FL) Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers · License SNF1476096 (FL) Secondary
333600000X Pharmacy Suppliers · License PH2050 (FL) Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Mauri Mizrahi
Title Ceo

Other identifiers

Identifier Type State Issuer
020085900 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for River Garden Hebrew Home for the Aged?
The NPI for River Garden Hebrew Home for the Aged is 1669479192, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for River Garden Hebrew Home for the Aged?
NPPES lists Mauri Mizrahi (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-13.