FAIRPORT BAPTIST HOME ADHC (NPI# 1134457849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134457849 |
Entity Type | Organization |
Organization Name | FAIRPORT BAPTIST HOME ADHC |
Other Organization Name | LIFETIMES ADULT DAY CARE |
Practice Address |
14001 S Plymouth Ave Rochester NY 14611 |
Mailing Address |
4646 Nine Mile Point Rd Fairport NY 14450-1163 |
Practice Telephone | 5853882303 |
Mailing Telephone | 5853882303 |
Mailing Fax Number | 5853772620 |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |
Authorized Official Name | MR. GERARD J WOYTASH (VICE PRESIDENT OF FINANCE) |
Authorized Official Telephone | 5853882303 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01703382 | 05 |
Other Name | Type Code |
---|---|
Lifetimes Adult Day Care | Other Name - Individual/Organization |
Street Address |
14001 S PLYMOUTH AVE |
City | ROCHESTER |
State | NY |
Zip Code | 14611 |
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 |
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 |
1104367127 | Park Ridge Living Center | Clinic/Center | 89 Genesee St, Rochester, NY 14611-3201 | 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.