Organization Active NPI

PRCD, Inc.

  • Substance Abuse Rehabilitation Facility
  • Rochester, NY
National Provider Identifier
1053630731
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRCD, INC.
Practice address
2650 Ridgeway Ave
Rochester, NY 14626-4209
Phone
(585) 723-7717
Fax
(585) 723-7358
NPI assigned
May 20, 2010
Organization subpart
Yes
Parent organization
PRCD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Douglas Stewart
Title
President Health Care Services
Phone
(585) 723-7185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2650 Ridgeway Ave
Rochester, NY 14626-4209

Mailing address

2650 Ridgeway Ave
Rochester, NY 14626-4209
Phone (585) 723-7717

Other names 1

  • Daisy Marquis Jones Women's Community Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PRCD Inc2 organizations share this tax ID, including this one
Part of
PRCD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2650 Ridgeway Ave
Rochester, NY 14626
Phone (585) 723-7250

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1053630731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264209",
            "telephone_number": "585-723-7717",
            "fax_number": "585-723-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264209",
            "telephone_number": "585-723-7717",
            "fax_number": "585-723-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRCD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRCD, INC.",
        "enumeration_date": "2010-05-20",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT HEALTH CARE SERVICES",
        "authorized_official_telephone_number": "585-723-7185"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daisy Marquis Jones Women's Community Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.