PARK RIDGE NURSING HOME (NPI# 1255489183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255489183 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE NURSING HOME |
| Other Organization Name | PRNH NON-OCCUPANT ADC MSAC |
| Practice Address |
2300 Buffalo Rd Building 600b Rochester NY 14624-1360 |
| Practice Telephone | 5853686470 |
| Practice Fax Number | 5853686471 |
| Mailing Telephone | 5853686470 |
| Mailing Fax Number | 5853686471 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | JILL GRAZIANO (VP ELDERONE) |
| Authorized Official Telephone | 5859222808 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK RIDGE LIVING CENTER |
| 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 | 01186429 | 05 |
| Other Name | Type Code |
|---|---|
| PRNH non-occupant ADC MSAC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750735361 | Park Ridge Nursing Home | Clinic/Center | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2016-04-20 |
| Street Address |
2300 BUFFALO RD BUILDING 600B |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124012802 | Retina Specialist of The Finger Lakes | Ophthalmology | 2300 Buffalo Rd, Bldg 700b, Rochester, NY 14624-1360 | 2005-09-08 |
| 1851832687 | Susan Marrone | Registered Nurse | 2300 Buffalo Rd, Suite 800-c, Rochester, NY 14624-1360 | 2017-03-13 |
| 1205286986 | State of New York Comptrollers Office | Clinic/Center | 2300 Buffalo Rd, Rochester, NY 14624-1360 | 2016-06-14 |
| 1770974982 | Robert Michael Hales | Dentist | 2300 Buffalo Rd, Suite 300, Rochester, NY 14624-1360 | 2015-02-10 |
| 1972917904 | Emily Hanlon | Optometrist | 2300 Buffalo Rd, Bldg 700, Rochester, NY 14624-1367 | 2014-06-18 |
| 1588095574 | Podiatry Associates of Rochester, LLP | Podiatrist | 2300 Buffalo Rd, Suite 900 C, Rochester, NY 14624-1360 | 2013-12-02 |
| 1528304805 | Q Dental Associates, P.C. | Dentist | 2300 Buffalo Rd, Building 400, Rochester, NY 14624-1360 | 2012-12-14 |
| 1679821797 | Alicia Bridgette Courtney | Physical Therapist | 2300 Buffalo Rd, Building 100-c, Rochester, NY 14624-1360 | 2012-08-21 |
| 1700163144 | John Otto Arlington | Physical Therapist | 2300 Buffalo Rd, Bldg 100c, Rochester, NY 14624-1375 | 2011-11-14 |
| 1568762995 | Kevin William Clogg | Optometrist | 2300 Buffalo Rd, Bldg 700, Rochester, NY 14624-1367 | 2010-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| 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 |
| 1104367127 | Park Ridge Living Center | Clinic/Center | 89 Genesee St, Rochester, NY 14611-3201 | 2017-03-09 |
| 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.