GRANDMA'S WISH


Address: 63 Clinton St, Homer, NY 13077-1047
Phone: 6073456297

GRANDMA'S WISH (NPI# 1609144021) 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) 1609144021
Entity Type Organization
Organization Name GRANDMA'S WISH
Practice Address 63 Clinton St
Homer
NY 13077-1047
Practice Telephone 6073456297
Mailing Telephone 6073456297
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Authorized Official Name SUSAN M CHALTAIN (OWNER/PROGRAM COORDINATOR)
Authorized Official Telephone 6073456297
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

Office Location

Street Address 63 CLINTON ST
City HOMER
State NY
Zip Code 13077-1047

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1982947990 Robin L Staring Licensed Practical Nurse 43 North Main St, Homer, NY 13077 2013-03-28
1760703227 Krista C Keeler Social Worker 24 Copeland Avenue, Homer, NY 13077 2010-06-18
1740339704 Ashley C Vormwald Speech-Language Pathologist 9 Central Park Place, Homer, NY 13077 2007-01-09
1497846844 Ehren Paul Heyer Physical Therapist 84 Cortland St., Homer, NY 13077 2006-09-28
1255351813 Sandi H Wallace Physical Therapist 59 A James St., Homer, NY 13077 2006-07-19
1700866217 Robert P Morris Dermatology 45 N Fulton St, Homer, NY 13077 2006-01-19
1528342052 Heidi Jean Effinger Social Worker 72 S Main St, Homer, NY 13077 2011-10-03
1407094345 Elaine Elizabeth Fisher Speech-Language Pathologist 65 James St, Homer, NY 13077 2009-01-30
1386706299 Robert B Slater Social Worker 24 Copeland Ave, Homer, NY 13077 2006-12-15
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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
1235353970 Homer Senior Citizens, Inc. Clinic/Center 3935 Svedlund St, Homer, AK 99603-7673 2007-04-12

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1821618919 Bnb Adult Daycare Corp Clinic/Center 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 2020-04-20
1083246888 Brightest Adult Day Care Center LLC Clinic/Center 667 61st St, Brooklyn, NY 11220-4123 2020-02-10
1952933947 Unity Adult Daycare Inc Clinic/Center 16210 Highland Ave, Jamaica, NY 11432-3438 2020-02-07
1790317824 Boston Road Care LLC Clinic/Center 1698 Boston Rd, Bronx, NY 10460-4948 2020-02-06
1679105738 Mommy Social Adult Day Care, Inc. Clinic/Center 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 2020-02-06
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Competitor

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City HOMER
Zip Code 13077

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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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