National Provider Identifier
St. John'S Nursing Home Non Occ
St. John'S Nursing Home Non Occ 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) 271-5413.
Profile Overview
- NPI
- 1497958987
- Provider Type
- Organization
- Primary Specialty
- Adult Day Care Clinic/Center
- Enumeration Date
- June 11, 2007
- Last Updated
- August 22, 2020
Practice Location
- 150 Highland Ave
- Rochester, NY 14620-3024
Phone: (585) 271-5413
Specialties
- Adult Day Care Clinic/Center (261QA0600X)
Full Record
- NPI
- 1497958987
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- St. John'S Nursing Home Non Occ
- Mailing Street Address
- 150 Highland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3024
- Mailing Country
- US
- Mailing Phone
- (585) 271-5413
- Mailing Fax
- (585) 760-1497
- Practice Street Address
- 150 Highland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3024
- Practice Country
- US
- Practice Phone
- (585) 271-5413
- Practice Fax
- (585) 760-1497
- Enumeration Date
- June 11, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Runyon
- Authorized Official First Name
- Charles
- Authorized Official Title
- CEO, President
- Authorized Official Phone
- (585) 760-1202
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Taxonomies
- Adult Day Care Clinic/Center (261QA0600X)
- Other Identifiers
- 00358049 (NY)