<Unavail>

LBN: Glidedowan Llc
<Unavail> is an health care organization with primary practice located at 742 South Clinton Avenue , Rochester NY 14620. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Glidedowan Llc can be contacted via phone (585) 454-1776, or through Hanna, Thomas A via phone (585) 454-1776.

Contact Information

Primary practice address
742 South Clinton Avenue Rochester NY 14620
Phone: (585) 454-1776
Fax: (585) 454-4266
Website:
Map and Directions
Authorized official contact:
Name: Hanna, Thomas A
Phone: (585) 454-1776

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X New York

Profile Details

NPI number 1487033890
LBN Legal business name Glidedowan Llc
DBA Doing business as <Unavail>
Authorized official Hanna, Thomas A
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2015
Last updated Jun 26th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487033890 NPPES
New York MEDICAID 04160909

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