Park Ridge At Home

LBN: Park Ridge Nursing Home, Inc
Park Ridge At Home is an health care organization with primary practice located at 89 Genesee St , Rochester NY 14611-3201. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Park Ridge Nursing Home, Inc can be contacted via phone (585) 368-6342, or through Bourne, Susan via phone (585) 368-6454.

Contact Information

Primary practice address
89 Genesee St Rochester NY 14611-3201
Phone: (585) 368-6342
Fax: (585) 368-6395
Website:
Map and Directions
Authorized official contact:
Name: Bourne, Susan
Phone: (585) 368-6454

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1518015841
LBN Legal business name Park Ridge Nursing Home, Inc
DBA Doing business as Park Ridge At Home
Authorized official Bourne, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jan 14th, 2015 - about 11 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 1518015841 NPPES
New York MEDICAID 01185955
New York Other 109058C1
New York Other P0101059PR

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