National Provider Identifier

North Park Nursing Home

North Park Nursing Home is listed in the NPPES registry with a primary specialty of Home Health Agency in Rochester, NY and a listed phone number of (585) 368-3440.

NPI 1033391719Rochester, NYHome Health Agency

Profile Overview

NPI
1033391719
Provider Type
Organization
Primary Specialty
Home Health Agency
Enumeration Date
December 04, 2007
Last Updated
January 14, 2015

Practice Location

  • 89 Genesee St
  • Bishop Kearney Building
  • Rochester, NY 14611-3201

Phone: (585) 368-3440

Specialties

  • Home Health Agency (251E00000X)
Full Record
NPI
1033391719
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
North Park Nursing Home
Other Organization Name
<Unavail>
Provider Other Organization Name Type Code
6
Mailing Street Address
89 Genesee St
Mailing Address Line 2
Bishop Kearney Building
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-3201
Mailing Country
US
Mailing Phone
(585) 368-3440
Practice Street Address
89 Genesee St
Practice Address Line 2
Bishop Kearney Building
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3201
Practice Country
US
Practice Phone
(585) 368-3440
Enumeration Date
December 04, 2007
Last Updated
January 14, 2015
Authorized Official Last Name
Bourne
Authorized Official First Name
Susan
Authorized Official Title
Vp Home And Community Based Service
Authorized Official Phone
(585) 368-6454
Organization Subpart
Yes
Parent Organization Name
NORTH PARK NURSING HOME
Parent Organization TIN
<UNAVAIL>
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Agency (251E00000X)
Other Identifiers
02938690 (NY)