Westside Home Care Agency, LTD.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9898L001 Issued in NY

Legal business name

WESTSIDE HOME CARE AGENCY, LTD.

Practice address

80 Clinton St
Brockport, NY 14420-1841

Phone

(585) 637-7215

Fax

(585) 637-8913

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David John Wagenhauser

Title

VP

Phone

(585) 637-7215

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013038553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "address_2": "80 CLINTON ST.",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144200347",
            "telephone_number": "585-637-7215",
            "fax_number": "585-637-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CLINTON ST",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201841",
            "telephone_number": "585-637-7215",
            "fax_number": "585-637-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE HOME CARE AGENCY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGENHAUSER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "585-637-7215",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9898L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sol H Weinstein
• Stephen Weinstein
• Jason Wentworth, ATC, CSCS
• Brianna Wesolowski
• Westside Allergy Care, PC
• Beverly Whiteman, RN BSN
• Stephen F Wieczorek, DPM
• Susan Mary Wielgosz, ATC
• Carol Jean Wilbur, CCC-SLP
• Casey E Wilcox, LCSW

• Home Health Agency in Brockport, NY
• Providers in Brockport, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.