ST. JOHN'S NURSING HOME NON OCC (NPI# 1497958987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497958987 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S NURSING HOME NON OCC |
| Practice Address |
150 Highland Ave Rochester NY 14620-3024 |
| Practice Telephone | 5852715413 |
| Practice Fax Number | 5857601497 |
| Mailing Telephone | 5852715413 |
| Mailing Fax Number | 5857601497 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES RUNYON (CEO, PRESIDENT) |
| Authorized Official Telephone | 5857601202 |
| 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 | 00358049 | 05 |
| Street Address |
150 HIGHLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394480 | Janet Mcnally | Nurse Practitioner | 150 Highland Ave, Rochester, NY 14620-3024 | 2005-05-27 |
| 1730735333 | Mary Jo Strassell | Physical Therapy Assistant | 150 Highland Ave, Rochester, NY 14620-3024 | 2019-08-11 |
| 1427618362 | Stephanie Desiato | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2019-06-13 |
| 1992210918 | Allison Maureen Smith | Physical Medicine & Rehabilitation | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-12-13 |
| 1619499688 | Jenna Marie Nauerth | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-07-12 |
| 1912444506 | Rinki Rajesh Varindani | Speech-Language Pathologist | 150 Highland Ave, Rochester, NY 14620-3024 | 2017-01-21 |
| 1023569316 | Jill Abbey | Occupational Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-10-20 |
| 1598116766 | Lauren Park | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-28 |
| 1205285418 | Cara Bunn | Physical Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-08 |
| 1245689884 | Sara Lyautey | Occupational Therapist | 150 Highland Ave, Rochester, NY 14620-3024 | 2016-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 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.