PARK RIDGE NURSING HOME, INC. (NPI# 1548317837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548317837 |
| Entity Type | Organization |
| Organization Name | PARK RIDGE NURSING HOME, INC. |
| Practice Address |
1555 Long Pond Rd Rochester NY 14626-4122 |
| Practice Telephone | 5857237205 |
| Practice Fax Number | 5857237118 |
| Mailing Telephone | 5857237205 |
| Mailing Fax Number | 5857237118 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | PATRICIA RUBIEN (VP-ADMINISTRATION, NHA) |
| Authorized Official Telephone | 5857237201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00314681 | 05 | |
| NY | BLUE CROSS | 25 | 01 |
| NY | BLUE CHOICE | 15005993 | 01 |
| NY | PREFERRED CARE | NH771 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488430 | Park Ridge Nursing Home, Inc. | Emergency Response System Companies | 89 Genesee St, Rochester, NY 14611-3201 | 2017-03-09 |
| Street Address |
1555 LONG POND RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474854 | Michelle Carpenter-bradley | Internal Medicine | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2005-06-01 |
| 1891394037 | Thomas Smith | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-20 |
| 1083211726 | Stergios Zissis | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-06 |
| 1194322123 | Yousif Rajab | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-02 |
| 1295342673 | Rachel Costain | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-29 |
| 1093321903 | Suman Biswas | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-17 |
| 1679187736 | Mary Carol Kretsch | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-04 |
| 1649883794 | Fahd Shaukat | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-28 |
| 1679185623 | Mohamed Eid | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-20 |
| 1619588076 | Megan M Stone | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| 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.