EASTER SEALS NEW YORK, INC. (NPI# 1407135445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407135445 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS NEW YORK, INC. |
| Other Organization Name | THE KESSLER CENTER SERVICE OF EASTER SEALS NEW YORK |
| Practice Address |
404 Rogers Pkwy Rochester NY 14617 |
| Mailing Address |
633 Third Avenue New York NY 10017 |
| Practice Telephone | 5859579202 |
| Mailing Telephone | 2127274214 |
| Mailing Fax Number | 2127274293 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | MS. KAREN WEGMANN (CFO) |
| Authorized Official Telephone | 2127274214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 310500000X | Intermediate Care Facility, Mental Illness | NY | Nursing & Custodial Care Facilities | |
| N | 385H00000X | Respite Care | NY | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03378970 | 05 |
| Other Name | Type Code |
|---|---|
| The Kessler Center Service of Easter Seals New York | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1598120834 | Easter Seals New York, Inc. | Clinic/Center | 103 White Spruce Blvd, Rochester, NY 14623-1610 | 2015-12-30 |
| Street Address |
404 ROGERS PKWY |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625148 | Taylor Barrett | Speech-Language Pathologist | 350 Cooper Road, Rochester, NY 14617 | 2019-12-04 |
| 1326517608 | Matthew Richard Vandermeid | Student in an Organized Health Care Education/Training Program | 161 Sethland Dr., Rochester, NY 14617 | 2018-11-16 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1043585599 | Shannon Nichole Fridd | Speech-Language Pathologist | 350 Cooper Rd., Rochester, NY 14617 | 2012-03-16 |
| 1861777112 | Todd M Schoen | Pharmacist | 525 Titus Avenue, Rochester, NY 14617 | 2011-10-19 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1215225602 | Alberto Ramon Cebollero | Psychologist | 402 Rogers Parkway, The Kessler Center, Rochester, NY 14617 | 2011-07-19 |
| 1487893269 | Stepping Stones Learning Center | Early Intervention Provider Agency | 2111 Hudson Ave, Rochester, NY 14617 | 2009-02-18 |
| 1932348208 | Philip Steckley | Specialist/Technologist | 260 Cooper Rd, Rochester, NY 14617 | 2009-02-11 |
| Find all providers in zip 14617 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
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|---|---|---|---|---|
| 1619537271 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 283 Route 25a, Shoreham, NY 11786-2135 | 2019-06-17 |
| 1508300393 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 915 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1871037648 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 919 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1972967859 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 904 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-07 |
| 1326400631 | Qsac, Inc | Intermediate Care Facility, Mental Illness | 901 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1114213824 | Gotham | Intermediate Care Facility, Mental Illness | 116 John St., New York, NY 10038-3414 | 2011-06-21 |
| 1215240403 | Nassau County Association for The Help of Retarded Citizens Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave., House D, Plainview, NY 11803 | 2010-07-16 |
| 1912227182 | Nassau County Association for The Help of Retarded Citizens, Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave, Plainview, NY 11803-1830 | 2010-06-10 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| 1003053885 | Brookville Center for Childrens Services Inc | Intermediate Care Facility, Mental Illness | 28 Seaspray Dr, Lido Beach, NY 11561-5232 | 2009-01-15 |
| Find all providers with the same taxonomy | ||||
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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.