National Provider Identifier
Park Ridge Living Center
Park Ridge Living Center is listed in the NPPES registry with a primary specialty of Adult Day Care Clinic/Center in Rochester, NY and a listed phone number of (585) 368-3942.
Profile Overview
- NPI
- 1104367127
- Provider Type
- Organization
- Primary Specialty
- Adult Day Care Clinic/Center
- Enumeration Date
- March 09, 2017
- Last Updated
- March 09, 2017
Practice Location
- 89 Genesee St
- Rochester, NY 14611-3201
Phone: (585) 368-3942
Specialties
- Adult Day Care Clinic/Center (261QA0600X)
Full Record
- NPI
- 1104367127
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Park Ridge Living Center
- 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) 368-3942
- Mailing Fax
- (585) 368-3943
- Practice Street Address
- 89 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3201
- Practice Country
- US
- Practice Phone
- (585) 368-3942
- Practice Fax
- (585) 368-3943
- Enumeration Date
- March 09, 2017
- Last Updated
- March 09, 2017
- Authorized Official Last Name
- McGuire
- Authorized Official First Name
- Kathryn
- Authorized Official Middle Name
- A
- Authorized Official Title
- SR. Vp Bh, Home & Com, Mltc/Pace
- Authorized Official Phone
- (585) 368-3287
- Organization Subpart
- Yes
- Parent Organization Name
- PARK RIDGE NURSING HOME, INC.
- Parent Organization TIN
- <UNAVAIL>
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Day Care Clinic/Center (261QA0600X)