FAIRPORT BAPTIST HOME ADHC


Address: 14001 S Plymouth Ave, Rochester, NY 14611
Phone: 5853882303

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01703382 05

Other Provider/Organization Names

Other Name Type Code
Lifetimes Adult Day Care Other Name - Individual/Organization

Office Location

Street Address 14001 S PLYMOUTH AVE
City ROCHESTER
State NY
Zip Code 14611

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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
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ROCHESTER
Zip Code 14611

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Dataset Information

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.

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