HERITAGE CHRISTIAN SERVICES INC (NPI# 1700077443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700077443 |
| Entity Type | Organization |
| Organization Name | HERITAGE CHRISTIAN SERVICES INC |
| Practice Address |
349 West Commercial Street Suite 2795 East Rochester NY 14445 |
| Practice Telephone | 5853402000 |
| Practice Fax Number | 5853402006 |
| Mailing Telephone | 5853402000 |
| Mailing Fax Number | 5853402006 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | MS. MARISA GEITNER (PRESIDENT & CEO) |
| Authorized Official Telephone | 5853402000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1901L001 | NY | Agencies |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01984918 | 05 | |
| NY | 01999499 | 05 | |
| NY | 02171153 | 05 | |
| NY | 02247276 | 05 | |
| NY | 02266888 | 05 | |
| NY | 02463207 | 05 | |
| NY | 01750650 | 05 | |
| NY | 02587300 | 05 | |
| NY | 02594310 | 05 | |
| NY | 02610997 | 05 | |
| NY | 01999366 | 05 | |
| NY | 02119244 | 05 | |
| NY | 02416228 | 05 | |
| NY | 02532841 | 05 | |
| NY | 01522623 | 05 | |
| NY | 01855852 | 05 | |
| NY | 02594301 | 05 | |
| NY | 02596110 | 05 | |
| NY | 01960663 | 05 | |
| NY | 02557959 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053898783 | Heritage Christian Services Inc | Case Management | 275 Kenneth Dr Ste 100, Rochester, NY 14623-4277 | 2018-07-25 |
| Street Address |
349 WEST COMMERCIAL STREET SUITE 2795 |
| City | EAST ROCHESTER |
| State | NY |
| Zip Code | 14445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900611 | Shalom Tahnee Wilson | Licensed Practical Nurse | [email protected], 118 Pine Street, Rochester, NY 14445 | 2020-04-02 |
| 1114329646 | Yuliya Doobkowa | Licensed Practical Nurse | 90 Pine Street, East Rochester, NY 14445 | 2014-09-16 |
| 1417207325 | Rachel Ann Lowry | Specialist/Technologist | 231 East Spruce Street, East Rochester, NY 14445 | 2012-09-18 |
| 1669449468 | Scott David Coon | Chiropractor | 465 W Commercial St, E Rochester, NY 14445 | 2006-03-01 |
| 1750373783 | Matthew Stoutenburg | Physical Therapist | 59 Perinton Hills Shopping Ctr, Fairport, NY 14445 | 2005-08-16 |
| 1144229097 | Karen Napierala | Physical Therapist | 161 East Commercial St, Rochester, NY 14445 | 2005-07-21 |
| 1891272902 | Jeffrey Mcquay | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-07-20 |
| 1104308352 | Live Fall Free LLC | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-09-04 |
| 1477881076 | Caitlin A Burke | Licensed Practical Nurse | 226 Magnolia Ave, East Rochester, NY 14445-1304 | 2009-11-20 |
| 1225161318 | Tina Terese Brown-carter | Technician/Technologist | 333 1/2 N Garfield Avenue, East Rochester, NY 14445-1315 | 2007-03-14 |
| Find all providers in zip 14445 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST ROCHESTER |
| Zip Code | 14445 |
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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.