National Provider Identifier
St Johns Health Care Corporation
St Johns Health Care Corporation is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility in Rochester, NY and a listed phone number of (585) 760-1300.
Source: public NPPES record, last updated January 25, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1164425971
- Provider Type
- Organization
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2005
- Last Updated
- January 25, 2016
Practice Location
- 150 Highland Avenue
- Rochester, NY 14620
Phone: (585) 760-1300
Authorized Official
- Name
- Mrs. Mary G Russo
- Title
- Director Of Finance
- Credentials
- CPA
- Phone
- (585) 760-1421
Specialties
- Skilled Nursing Facility (314000000X)
- Occupational Therapist (225X00000X)
- Physical Therapist (225100000X)
- Speech-Language Pathologist (235Z00000X)
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Full Record
- NPI
- 1164425971
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- St Johns Health Care Corporation
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 150 Highland Avenue
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620
- Mailing Country
- US
- Mailing Phone
- (585) 760-1300
- Mailing Fax
- (585) 760-1497
- Practice Street Address
- 150 Highland Avenue
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (585) 760-1300
- Practice Fax
- (585) 760-1497
- Enumeration Date
- May 24, 2005
- Last Updated
- January 25, 2016
- Authorized Official Last Name
- Russo
- Authorized Official First Name
- Mary
- Authorized Official Middle Name
- G
- Authorized Official Title
- Director Of Finance
- Authorized Official Phone
- (585) 760-1421
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mrs.
- Authorized Official Credential Text
- CPA
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Taxonomy Group 3
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Skilled Nursing Facility (314000000X), Occupational Therapist (225X00000X), Physical Therapist (225100000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 00355591 (NY)