PARK RIDGE LIVING CENTER (NPI# 1205377223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205377223 |
Entity Type | Organization |
Organization Name | PARK RIDGE LIVING CENTER |
Other Organization Name | PRNH NON-OCCUPANT ADC ST. BERNARDS |
Practice Address |
2260 Lake Ave Rochester NY 14612-5758 |
Practice Telephone | 5852547990 |
Practice Fax Number | 5852548139 |
Mailing Telephone | 5852547990 |
Mailing Fax Number | 5852548139 |
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. Bernards | 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 |
1104367127 | Park Ridge Living Center | Clinic/Center | 89 Genesee St, Rochester, NY 14611-3201 | 2017-03-09 |
1023166378 | Park Ridge Living Center | Clinic/Center | 2260 Lake Ave, Rochester, NY 14612-5758 | 2007-01-05 |
Street Address |
2260 LAKE AVE |
City | ROCHESTER |
State | NY |
Zip Code | 14612-5758 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285661058 | Sheryl Holley | Family Medicine | 2260 Lake Ave, Suite 1000, Rochester, NY 14612-5758 | 2006-06-27 |
1831642941 | Saheen Thakor | Family Medicine | 2260 Lake Ave, Rochester, NY 14612-5758 | 2016-07-26 |
1013355189 | Katherine Wolcott | Registered Nurse | 2260 Lake Ave, Suite 1000, Rochester, NY 14612-5758 | 2013-06-11 |
1437313707 | Jamila Walida Wiggins | Licensed Practical Nurse | 2260 Lake Ave, Apt 2301, Rochester, NY 14612-5758 | 2008-07-15 |
1023166378 | Park Ridge Living Center | Clinic/Center | 2260 Lake Ave, Rochester, NY 14612-5758 | 2007-01-05 |
1275565368 | James Briggs | Physician Assistant | 2260 Lake Ave, Suite 1000, Rochester, NY 14612-5700 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386294122 | Marlene Lebeau | Technician | 39 Wood Run Commons, Rochester, NY 14612 | 2019-09-13 |
1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
1043759822 | Jessica Ekiert | Licensed Practical Nurse | 143 Country Place Ln, Rochester, NY 14612 | 2017-02-14 |
1790179471 | Elizabeth Inclima | Specialist | 27 Hale Circle, Rochester, NY 14612 | 2015-03-20 |
1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
1811272602 | Alexandra Reidmiller | Registered Nurse | 800 Long Pond Road, Rochester, NY 14612 | 2011-10-12 |
1528372224 | Nicole France | Pharmacist | 665 Long Pond Rd., Rochester, NY 14612 | 2010-08-05 |
1407094303 | Esther Mae Platek | Licensed Practical Nurse | 4702-1 Dewey Ave, Rochester, NY 14612 | 2009-01-30 |
1871730614 | Edwidge May Clarke | Registered Nurse | 276 Pebbleview Drive, Rochester, NY 14612 | 2009-01-15 |
1073772000 | La Vonia Marie Norman - Greeen | Licensed Practical Nurse | 902 Pond View Hts, Rochester, NY 14612 | 2008-06-05 |
Find all providers in zip 14612 |
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 |
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.