CONESUS LAKE NURSING HOME, LLC (NPI# 1669477873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669477873 |
Entity Type | Organization |
Organization Name | CONESUS LAKE NURSING HOME, LLC |
Other Organization Name | CONESUS LAKE NURSING HOME |
Practice Address |
6131 Big Tree Rd Livonia NY 14487-9608 |
Mailing Address |
740 East Ave Rochester NY 14607-2107 |
Practice Telephone | 5853463001 |
Practice Fax Number | 5853466637 |
Mailing Telephone | 5852440410 |
Mailing Fax Number | 5852441374 |
Enumeration Date | 2005-06-15 |
Last Update Date | 2011-10-04 |
Authorized Official Name | MR. DENNIS L MART (CFO) |
Authorized Official Telephone | 5852440410 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2525300 | NY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00355440 | 05 |
Other Name | Type Code |
---|---|
Conesus Lake Nursing Home | Doing Business As Name - Organization |
Street Address |
6131 BIG TREE RD |
City | LIVONIA |
State | NY |
Zip Code | 14487-9608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164400248 | Paul Frame | Family Medicine | 6131 Big Tree Rd, Conesus Lake Nursing Home, Livonia, NY 14487-9608 | 2006-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245595321 | Barbara A Clar-przysinda | Licensed Practical Nurse | 4747 East Lake Rd, Livonia, NY 14487 | 2012-07-05 |
1427335496 | Bree Danielle Masterson-dempsey | Speech-Language Pathologist | Puppy Lane, Livonia Elementary School, Livonia, NY 14487 | 2011-11-04 |
1811295082 | Michael James Cendoma | Specialist | 30 Commercial Ave, Suite 4, Livonia, NY 14487 | 2011-03-11 |
1326166471 | Town of Livonia Ambulance District No 1 | Ambulance | 4213 South Livonia Rd., Livonia, NY 14487 | 2007-03-27 |
1679067128 | Jennifer Jean Cator | Speech-Language Pathologist | 6 Puppy Lane, Livonia, NY 14487 | 2018-06-19 |
1003114281 | Sports Medicine Concepts, Inc | Specialist | 30 Commercial Ave, Suite 4, Livonia, NY 14487 | 2011-03-11 |
1053411827 | Brian Hirschfield | Dentist | 6003 Big Tree Rd, Livonia, NY 14487 | 2006-09-22 |
1922282896 | Cynthia Hughes | Licensed Practical Nurse | 7201 Stone Hill Rd., Livonia, NY 14487-0133 | 2007-12-27 |
1144503012 | Cynthia L. Hawk | Speech-Language Pathologist | Po Box E, Livonia, NY 14487-0489 | 2011-09-27 |
1255498762 | Livonia Central School District | Local Education Agency (LEA) | 6 Puppy Lane, Livonia, NY 14487-0489 | 2007-01-03 |
Find all providers in zip 14487 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285721449 | Marian Village Corporation | Skilled Nursing Facility | 36975 5 Mile Rd, Livonia, MI 48154-1871 | 2006-10-09 |
1245272897 | Heartland-university of Livonia Mi LLC | Skilled Nursing Facility | 28550 Five Mile Rd, Livonia, MI 48154-3866 | 2006-06-11 |
1942249818 | Heartland-dorvin of Livonia Mi LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152-2044 | 2006-06-06 |
1316996226 | Woodhaven of Livonia | Skilled Nursing Facility | 29667 Wentworth St, Livonia, MI 48154-6231 | 2006-05-08 |
1801854815 | St. Jude Nursing Center, Inc. | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2006-05-02 |
1366443228 | Trinity Continuing Care Services | Skilled Nursing Facility | 15475 Middlebelt Rd, Livonia, MI 48154-3805 | 2005-08-02 |
1720085053 | Middlebelt Hope Acquistion Company Inc | Skilled Nursing Facility | 14900 Middlebelt Rd, Livonia, MI 48154-4033 | 2005-07-01 |
1811538903 | Livonia Snf Operating, LLC | Skilled Nursing Facility | 34350 Ann Arbor Trl, Livonia, MI 48150-3606 | 2019-10-01 |
1811479330 | Fountain Bleu Health and Rehabilitation Center Inc | Skilled Nursing Facility | 28910 Plymouth Rd, Livonia, MI 48150-2337 | 2018-08-31 |
1235628868 | Livonia Snf, LLC | Skilled Nursing Facility | 29270 Morlock St, Livonia, MI 48152 | 2018-05-09 |
Find all providers in LIVONIA |
Please comment or provide details below to improve the information on CONESUS LAKE NURSING HOME, LLC.
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.