NORTH PARK NURSING HOME (NPI# 1699824847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699824847 |
| Entity Type | Organization |
| Organization Name | NORTH PARK NURSING HOME |
| Other Organization Name | NORTH PARK NH ADHC |
| Practice Address |
700 Island Cottage Rd Rochester NY 14612-2312 |
| Practice Telephone | 5853686130 |
| Practice Fax Number | 5853686030 |
| Mailing Telephone | 5853686130 |
| Mailing Fax Number | 5853686030 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | AMANDA TEUGEMAN (ADMINISTRATOR, NHA) |
| Authorized Official Telephone | 5853686105 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH PARK NURSING HOME |
| 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 | 01535840 | 05 |
| Other Name | Type Code |
|---|---|
| Edna Tina Wilson Living Center (ADHC) | Doing Business As Name - Organization |
| North Park NH ADHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033391719 | North Park Nursing Home | Home Health | 89 Genesee St, Bishop Kearney Building, Rochester, NY 14611-3201 | 2007-12-04 |
| Street Address |
700 ISLAND COTTAGE RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14612-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669403895 | Kimberly Joseph | Physician Assistant | 700 Island Cottage Rd, Edna Tina Wilson Center, Rochester, NY 14612-2312 | 2006-07-05 |
| 1861001786 | Noheli Ruiz | Speech-Language Pathologist | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2020-07-27 |
| 1699326967 | Shannon Marie O'malley | Physical Therapist | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2019-09-26 |
| 1982161998 | Kim Matava | Physical Therapist | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2019-02-26 |
| 1538640651 | Shea Ruster | Speech-Language Pathologist | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2018-08-27 |
| 1437583093 | Rachel Elizabeth Waugh | Physical Therapist | 700 Island Cottage Rd, Rochester, NY 14612 | 2013-08-30 |
| 1811044522 | North Park Nursing Home, Inc. | Skilled Nursing Facility | 700 Island Cottage Rd, Rochester, NY 14612-2312 | 2007-01-04 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on NORTH PARK NURSING HOME.
| 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.