National Provider Identifier
Fairport Baptist Home Adhc
Fairport Baptist Home Adhc 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) 388-2303.
Profile Overview
- NPI
- 1134457849
- Provider Type
- Organization
- Primary Specialty
- Adult Day Care Clinic/Center
- Enumeration Date
- November 19, 2009
- Last Updated
- November 19, 2009
Practice Location
- 14001 S Plymouth Ave
- Rochester, NY 14611
Phone: (585) 388-2303
Mailing Address
- 4646 Nine Mile Point RD
- Fairport, NY 14450-1163
Specialties
- Adult Day Care Clinic/Center (261QA0600X)
Full Record
- NPI
- 1134457849
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Fairport Baptist Home Adhc
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 4646 Nine Mile Point RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1163
- Mailing Country
- US
- Mailing Phone
- (585) 388-2303
- Mailing Fax
- (585) 377-2620
- Practice Street Address
- 14001 S Plymouth Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611
- Practice Country
- US
- Practice Phone
- (585) 388-2303
- Enumeration Date
- November 19, 2009
- Last Updated
- November 19, 2009
- Authorized Official Last Name
- Woytash
- Authorized Official First Name
- Gerard
- Authorized Official Middle Name
- J
- Authorized Official Title
- Vice President Of Finance
- Authorized Official Phone
- (585) 388-2303
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Day Care Clinic/Center (261QA0600X)
- Other Identifiers
- 01703382 (NY)