GENESEE VALLEY PRESBYTERIAN NURSING CENTER (NPI# 1306832613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306832613 |
Entity Type | Organization |
Organization Name | GENESEE VALLEY PRESBYTERIAN NURSING CENTER |
Other Organization Name | KIRKHAVEN |
Practice Address |
254 Alexander St Rochester NY 14607-2515 |
Practice Telephone | 5854611991 |
Practice Fax Number | 5854619833 |
Mailing Telephone | 5854611991 |
Mailing Fax Number | 5854619833 |
Enumeration Date | 2005-09-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. AMANDA D BROWN (EXECUTIVE VP/ADMINISTRATOR) |
Authorized Official Telephone | 5854611991 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 2701345N | NY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00817189 | 05 | |
NY | NYS TAX EXEMPT NUMBER | 164047 | 01 |
NY | OPERATING CERTIFICATE | 2701345N | 01 |
NY | NYS PFI | 3164 | 01 |
NY | DMERC NUMBER | 1212440001 | 01 |
NY | NY STATE REG. NUMBER | 04-21-65 | 01 |
Other Name | Type Code |
---|---|
Kirkhaven | Doing Business As Name - Organization |
Street Address |
254 ALEXANDER ST |
City | ROCHESTER |
State | NY |
Zip Code | 14607-2515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366923161 | Saikrishnan Vaisravanath | Physical Therapist | 254 Alexander St, Rochester, NY 14607-2515 | 2018-08-28 |
1003397696 | Margaret Caroline Dilella | Occupational Therapist | 254 Alexander St, Rochester, NY 14607-2515 | 2018-08-22 |
1902307291 | Rebecca L Dunn | Registered Nurse | 254 Alexander St, Rochester, NY 14607-2515 | 2018-02-22 |
1144681172 | Shacaria Benton | Licensed Practical Nurse | 254 Alexander St, Rochester, NY 14607-2515 | 2016-03-18 |
1780804104 | Helene Waltz | Physician Assistant | 254 Alexander St, Rochester, NY 14607-2515 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
Find all providers in zip 14607 |
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 |
---|---|---|---|---|
1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
1679009633 | Love's Compassion Care | Skilled Nursing Facility | 67 Keller St, Rochester, NY 14609-3948 | 2017-05-11 |
1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
1356889414 | Ajaypal Singh | Skilled Nursing Facility | 55 Essex Dr, Rochester, NY 14623-3007 | 2017-02-08 |
1437694817 | Clements Nursing | Skilled Nursing Facility | 21 Quamina Dr, Rochester, NY 14605-1234 | 2016-12-21 |
1841656469 | Latta Road Nursing Home West, LLC | Skilled Nursing Facility | 2100 Latta Rd, Rochester, NY 14612-3728 | 2016-01-12 |
1003272626 | Latta Road Nursing Home East, LLC | Skilled Nursing Facility | 2102 Latta Rd, Rochester, NY 14612-3728 | 2016-01-12 |
1043576648 | Brittany Leah Murray | Skilled Nursing Facility | 192 Furlong St., Rochester, NY 14621 | 2012-04-09 |
1750444246 | Blossom South, LLC | Skilled Nursing Facility | 1175 Monroe Ave, Rochester, NY 14620-1613 | 2006-12-18 |
1760545362 | Blossom North, LLC | Skilled Nursing Facility | 1335 Portland Ave, Rochester, NY 14621-2706 | 2006-12-18 |
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.