National Provider Identifier
North Park Nursing Home, Inc.
North Park Nursing Home, Inc. is listed in the NPPES registry with a primary specialty of Home Delivered Meals in Rochester, NY and a listed phone number of (585) 368-4663.
Source: public NPPES record, last updated February 02, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1093253601
- Provider Type
- Organization
- Primary Specialty
- Home Delivered Meals
- Enumeration Date
- February 02, 2017
- Last Updated
- February 02, 2017
Practice Location
- 89 Genesee St
- Rochester, NY 14611-3201
Phone: (585) 368-4663
Authorized Official
- Name
- Susan Bourne
- Title
- Vice President Home Care
- Phone
- (585) 368-6454
Specialties
- Home Delivered Meals (332U00000X)
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Full Record
- NPI
- 1093253601
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- North Park Nursing Home, Inc.
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 89 Genesee St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-3201
- Mailing Country
- US
- Mailing Phone
- (585) 368-4663
- Mailing Fax
- (585) 368-6395
- Practice Street Address
- 89 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3201
- Practice Country
- US
- Practice Phone
- (585) 368-4663
- Practice Fax
- (585) 368-6395
- Enumeration Date
- February 02, 2017
- Last Updated
- February 02, 2017
- Authorized Official Last Name
- Bourne
- Authorized Official First Name
- Susan
- Authorized Official Title
- Vice President Home Care
- Authorized Official Phone
- (585) 368-6454
- Organization Subpart
- Yes
- Parent Organization Name
- NORTH PARK NURSING HOME, INC.
- Parent Organization TIN
- <UNAVAIL>
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Home Delivered Meals (332U00000X)