National Provider Identifier
The Church Home Of The Protestant Episcopal Church In The City Of Roch
The Church Home Of The Protestant Episcopal Church In The City Of Roch is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility in Rochester, NY and a listed phone number of (585) 546-8400.
Profile Overview
- NPI
- 1255338117
- Provider Type
- Organization
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- July 06, 2005
- Last Updated
- May 23, 2016
Practice Location
- 505 Mount Hope Ave
- Rochester, NY 14620-2251
Phone: (585) 546-8400
Specialties
- Skilled Nursing Facility (314000000X)
Full Record
- NPI
- 1255338117
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- The Church Home Of The Protestant Episcopal Church In The City Of Roch
- Mailing Street Address
- 505 Mount Hope Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2251
- Mailing Country
- US
- Mailing Phone
- (585) 546-8400
- Mailing Fax
- (585) 325-6553
- Practice Street Address
- 505 Mount Hope Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2251
- Practice Country
- US
- Practice Phone
- (585) 546-8400
- Practice Fax
- (585) 325-6553
- Enumeration Date
- July 06, 2005
- Last Updated
- May 23, 2016
- Authorized Official Last Name
- Marcello
- Authorized Official First Name
- Lisa
- Authorized Official Middle Name
- J
- Authorized Official Title
- Executive Vp/Cfo
- Authorized Official Phone
- (585) 546-8400
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- CPA
- Taxonomies
- Skilled Nursing Facility (314000000X)
- Other Identifiers
- 103363CI (NY, Preferred Care - Skilled), 3123439 (NY, Aetna - Commercial), 103363XX (NY, Preferred Care - Custodia), 44 (NY, Excellus Bc/Bs), P014015944 (NY, Blue Choice Therapy), P015005944 (NY, Blue Choice Room & Board), 103363FQ (NY, Preferred Care - Therapy), 00355500 (NY)