Organization Active NPI

Lifespan of Greater Rochester

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1174951297
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFESPAN OF GREATER ROCHESTER
Practice address
1900 Clinton Ave S
Rochester, NY 14618-5621
Phone
(585) 244-8400
Fax
(585) 244-9114
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mrs. Ann Marie Cook
Title
President/Ceo
Phone
(585) 244-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NY Primary

Addresses

Primary practice location

1900 Clinton Ave S
Rochester, NY 14618-5621

Mailing address

1900 Clinton Ave S
Rochester, NY 14618-5621
Phone (585) 244-8400

Other identifiers 1

IdentifierTypeStateIssuer
03065610MedicaidNY

National Provider Directory

National Provider Directory

Locations

1900 S Clinton Ave
Rochester, NY 14618
Phone (585) 442-2143

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1174951297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-244-8400",
            "fax_number": "585-244-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185621",
            "telephone_number": "585-244-8400",
            "fax_number": "585-244-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN OF GREATER ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-244-8400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03065610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 29, 2013; 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.