PARK RIDGE LIVING CENTER (NPI# 1104367127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367127 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE LIVING CENTER |
| Other Organization Name | PRNH NON-OCCUPANT ADC ST. MARY'S |
| Practice Address |
89 Genesee St Rochester NY 14611-3201 |
| Practice Telephone | 5853683942 |
| Practice Fax Number | 5853683943 |
| Mailing Telephone | 5853683942 |
| Mailing Fax Number | 5853683943 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | KATHRYN A MCGUIRE (SR. VP BH, HOME & COM, MLTC/PACE) |
| Authorized Official Telephone | 5853683287 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK RIDGE NURSING HOME, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRNH Non-Occupant ADC St. Mary's | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246912 | Park Ridge Living Center | Clinic/Center | 2300 Buffalo Rd Bldg 600a, Rochester, NY 14624-1368 | 2017-03-09 |
| 1205377223 | Park Ridge Living Center | Clinic/Center | 2260 Lake Ave, Rochester, NY 14612-5758 | 2017-03-09 |
| 1023166378 | Park Ridge Living Center | Clinic/Center | 2260 Lake Ave, Rochester, NY 14612-5758 | 2007-01-05 |
| Street Address |
89 GENESEE ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14611-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164406476 | The Unity Hospital of Rochester | Skilled Nursing Facility | 89 Genesee St, Rochester, NY 14611-3201 | 2005-11-30 |
| 1144820655 | Emily Tardugno | Physical Therapist | 89 Genesee St, Rochester, NY 14611-3201 | 2020-10-26 |
| 1750998928 | Ashley Elizabeth Gluszek | Pharmacist | 89 Genesee St, Rochester, NY 14611-3201 | 2020-09-30 |
| 1619597390 | The Unity Hospital of Rochester | Long Term Care Hospital | 89 Genesee St, Rochester, NY 14611-3201 | 2020-04-22 |
| 1174155725 | Julia M Dorsey | Counselor | 89 Genesee St, Rochester, NY 14611-3201 | 2020-02-11 |
| 1871154385 | Elaina Galea | Speech-Language Pathologist | 89 Genesee St, Rochester, NY 14611-3201 | 2019-06-25 |
| 1053881805 | Doris Anne Develder | Counselor | 89 Genesee St, Rochester, NY 14611-3201 | 2018-12-04 |
| 1710457668 | Shelby Bryce Kibler | Counselor | 89 Genesee St, Rochester, NY 14611-3201 | 2018-12-03 |
| 1255810065 | Danielle Cecelia Miller | Physical Therapist | 89 Genesee St, Rochester, NY 14611-3201 | 2018-08-13 |
| 1740775915 | Michael Smith | Occupational Therapist | 89 Genesee St, Rochester, NY 14611-3201 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
| 1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
| 1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
| 1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
| 1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
| 1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
| 1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
| 1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
| Find all providers in zip 14611 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373306 | Gazali Care | Clinic/Center | 280 North St, Rochester, NY 14605-2539 | 2019-12-19 |
| 1922587039 | Minnesota Adult Day Center, LLC | Clinic/Center | 330 Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2018-08-09 |
| 1992246912 | Park Ridge Living Center | Clinic/Center | 2300 Buffalo Rd Bldg 600a, Rochester, NY 14624-1368 | 2017-03-09 |
| 1194279422 | Generations Elder Care, Inc. | Clinic/Center | 2400 Chili Ave, Rochester, NY 14624-3327 | 2016-08-03 |
| 1134457849 | Fairport Baptist Home Adhc | Clinic/Center | 14001 S Plymouth Ave, Rochester, NY 14611 | 2009-11-19 |
| 1780756114 | Depaul Community Services Inc | Clinic/Center | 150 Mt. Hope Avenue, Rochester, NY 14620-1016 | 2006-11-14 |
| 1952341323 | The Homemakers Health Services | Clinic/Center | 215 Rochester Hill Rd, Rochester, NH 03867-1701 | 2006-06-07 |
| 1609336072 | Building Families First, Inc | Clinic/Center | 111 N Chestnut St, Rochester, NY 14604-1441 | 2019-03-22 |
| 1205377223 | Park Ridge Living Center | Clinic/Center | 2260 Lake Ave, Rochester, NY 14612-5758 | 2017-03-09 |
| 1750735361 | Park Ridge Nursing Home | Clinic/Center | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2016-04-20 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.