Active NPI
Geneva Nursing Home II Inc.
Doing business as Living Center at Geneva North
- Skilled Nursing Facility
- Geneva, NY
National Provider Identifier
1093865057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GENEVA NURSING HOME II INC.
- Doing business as
- Living Center at Geneva North
- Practice address
- 196 North St
Geneva, NY 14456-1651 - Phone
- (315) 787-4150
- Fax
- (315) 787-4794
- NPI assigned
- Jan 11, 2007
- Last updated
- Nov 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela E Johnson
- Title
- Treasurer and Cfo
- Phone
- (315) 787-4030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
196 North St
Geneva, NY 14456-1651
Mailing address
196 North St
Geneva, NY 14456-1651
Phone (315) 787-4150
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355642 | Medicaid | NY | |
| 92 | Other | NY | BLUE CROSS |
| P015003751 | Other | NY | BLUE CHOICE |
| 110927CI | Other | NY | PREFERRED CARE GOLD |
| 160743032BO | Other | NY | GHI PRIMARY |
Other names 1
- Living Center at Geneva North
National Provider Directory
National Provider DirectoryLocations
75 Mason St
Geneva, NY 14456
Phone (315) 787-4733
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.
-
- Internal Medicine Physician
- Penn Yan, NY
- NPI 1386733715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415836800000",
"number": "1093865057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 NORTH ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561651",
"telephone_number": "315-787-4150",
"fax_number": "315-787-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 NORTH ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561651",
"telephone_number": "315-787-4150",
"fax_number": "315-787-4794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENEVA NURSING HOME II INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2014-11-13",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "TREASURER AND CFO",
"authorized_official_telephone_number": "315-787-4030",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355642",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "92",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P015003751",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE GOLD",
"identifier": "110927CI",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PRIMARY",
"identifier": "160743032BO",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Center at Geneva North",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Geneva, NY
- Geneva General Hospital Inc (Geneva Anesthesia)
- Geneva General Hospital Inc.
- Geneva General Hospital, Inc (Geneva General Hosp Dialysis)
- Geneva General Hospital, Inc (Geneva General Hosp ER Physicians)
- Geneva General Hospital, Inc. (Geneva General Hospital Physician Practices)
- Geneva Nursing Home Inc (Living Center at Geneva South)
- Julie Gentile
- Theresa Lynn Gentile, LPN
- Jennifer L Gephart, AGPCNP
- Emily Lawler Gilbertson, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.