NPIMap

Organization Active NPI

Genesee Region Home Care Association Inc.

Doing business as Rochester Regional Health Hospice Care

  • Community Based Hospice Care Agency
  • Rochester, NY
National Provider Identifier
1013921675
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2701501F Issued in NY
Legal business name
GENESEE REGION HOME CARE ASSOCIATION INC.
Doing business as
Rochester Regional Health Hospice Care
Practice address
330 Monroe Ave
Rochester, NY 14607-3696
Phone
(585) 214-1000
Fax
(585) 214-1136
NPI assigned
Jul 28, 2006
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Colleen Rose
Title
VP Home Health and Hospice
Phone
(908) 770-3745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2701501F NY Primary

Addresses

Primary practice location

330 Monroe Ave
Rochester, NY 14607-3696

Mailing address

330 Monroe Ave
Rochester, NY 14607-3696
Phone (585) 214-1000

Other identifiers 3

IdentifierTypeStateIssuer
P0140059GR5OtherNYBC HOSPICE
00955835MedicaidNY
P0120059GR5OtherNYBC INPATIENT

Other names 1

  • Rochester Regional Health Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000634 NY Part A Provider - Hospice 9335050012 Practice locations: Rochester, NY; Newark, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013921675. Details of each certification follow.

Hospice certification: CCN 331506

Legal name
GENESEE REGION HOME CARE ASSOCIATION INC.
Doing business as
ROCHESTER REGIONAL HEALTH HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 1, 1984
Last certification
May 14, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jul 21, 1960 in NY
Enrollment address
330 Monroe Ave
Rochester, NY 14607

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Rochester Regional Health Hospice CareCCN 331506 · All quality measures
Ownership
Non-Profit
Certified
Oct 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

282 North St
Auburn, NY 13021
Phone (315) 253-8490

94 Main St
Ste 101
Geneseo, NY 14454
Phone (585) 243-1770

3513 Thomas Dr
Ste 6
Lakeville, NY 14480
Phone (585) 346-0014

2652 Ridgeway Ave
Rochester, NY 14626
Phone (585) 436-3462

333 Humboldt St
Rochester, NY 14610
Phone (585) 922-1000

70 Metro Park
Rochester, NY 14623
Phone (585) 214-1000

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hugh Thomas Individual Operational/Managerial Control Oct 1, 2019
Susan M Bourne Individual W-2 Managing Employee Jul 1, 2020
Carole Catallo Individual Corporate Officer Jul 1, 2020
Nichole S Holder Individual W-2 Managing EmployeeDirector Payer Enrollment May 24, 2021
Charles Stuart Individual Corporate Director Jun 25, 2015
Howard Glastonbury Individual Corporate OfficerVice President Cfo May 24, 2021
Manuel Matos Individual Corporate DirectorBoard Member Jan 24, 2012
James Norman Individual Corporate Director Aug 4, 2015
Marilyn Dollinger Individual Corporate DirectorBoard Member Sep 1, 2010
Eric Joseph Bieber Individual Operational/Managerial Control Oct 1, 2019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 76

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1013921675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073696",
            "telephone_number": "585-214-1000",
            "fax_number": "585-214-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073696",
            "telephone_number": "585-214-1000",
            "fax_number": "585-214-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE REGION HOME CARE ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "VP HOME HEALTH AND HOSPICE",
        "authorized_official_telephone_number": "908-770-3745"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "2701501F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HOSPICE",
            "identifier": "P0140059GR5",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955835",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC INPATIENT",
            "identifier": "P0120059GR5",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Regional Health Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.