FAIRPORT BAPTIST HOMES ADULT CARE FACILITY (NPI# 1902133838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902133838 |
| Entity Type | Organization |
| Organization Name | FAIRPORT BAPTIST HOMES ADULT CARE FACILITY |
| Practice Address |
4646 Nine Mile Point Rd Fairport NY 14450-1163 |
| Practice Telephone | 5853882303 |
| Practice Fax Number | 5853772620 |
| Mailing Telephone | 5853882303 |
| Mailing Fax Number | 5853772620 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | GERARD J WOYTASH (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 5853882303 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRPORT BAPTIST HOMES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
4646 NINE MILE POINT RD |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321345 | Bonnie R Crawford | Nurse Practitioner | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2005-10-28 |
| 1922592104 | Julie Anne Moretti | Occupational Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2018-06-20 |
| 1578089637 | Katherine Corbett | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2017-08-20 |
| 1609268812 | Julie Seither | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-25 |
| 1164813192 | Diane Hartley | Occupational Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-12 |
| 1215328786 | Teresa Bergin | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-05 |
| 1164813655 | Tracy Murphy | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-05 |
| 1689065195 | Marielle Jensen-battaglia | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-05 |
| 1659761146 | Jody Illingworth | Physical Therapist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2015-02-04 |
| 1093047656 | Nicholas Theodorou | Pharmacist | 4646 Nine Mile Point Rd, Fairport, NY 14450-1163 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164750717 | Painted Post, LLC | Assisted Living Facility | 7 Chardonnay Dr, Fairport, NY 14450-4100 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950966 | Kim One Family Type Homes for Adults | Assisted Living Facility | 361 California Ave, Uniondale, NY 11553-1857 | 2020-10-26 |
| 1992310395 | Gasna Aladin | Assisted Living Facility | 39 Irving St, Valley Stream, NY 11580-1634 | 2020-09-11 |
| 1104442839 | Icc Management & Consulting, Inc | Assisted Living Facility | 11 S Union St, Cambridge, NY 12816-1008 | 2020-06-18 |
| 1366067738 | Fountainview At College Rd | Assisted Living Facility | 2000 Fountainview Dr, Monsey, NY 10952-2875 | 2020-06-11 |
| 1831734367 | The Sentinel of Port Jervis | Assisted Living Facility | 2247 Greenville Tpke, Port Jervis, NY 12771-3216 | 2019-11-07 |
| 1871135525 | Heather Hieghts of Pittsford | Assisted Living Facility | 160 W Jefferson Rd, Pittsford, NY 14534-1802 | 2019-10-15 |
| 1306499884 | Olean Manor Inc | Assisted Living Facility | 3260 N 7th St, Allegany, NY 14706-9532 | 2019-07-23 |
| 1053879791 | The Mohawk Homestead | Assisted Living Facility | 62 E. Main St., Mohawk, NY 13407 | 2019-03-12 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1699274290 | Rtacf LLC | Assisted Living Facility | 1 Buntline Dr, Stamford, NY 12167-1203 | 2018-02-08 |
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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.