NPIMap

Organization Active NPI

Park Ridge Living Center

  • Adult Day Care Clinic/Center
  • Rochester, NY
National Provider Identifier
1205377223
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PARK RIDGE LIVING CENTER
Practice address
2260 Lake Ave
Rochester, NY 14612-5758
Phone
(585) 254-7990
Fax
(585) 254-8139
NPI assigned
Mar 9, 2017
Organization subpart
Yes
Parent organization
PARK RIDGE NURSING HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Kathryn A McGuire
Title
Sr. VP BH, Home & Com, MLTC/Pace
Phone
(585) 368-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2260 Lake Ave
Rochester, NY 14612-5758

Mailing address

2260 Lake Ave
Rochester, NY 14612-5758
Phone (585) 254-7990

Other names 1

  • PRNH Non-Occupant ADC St. Bernards Other name

National Provider Directory

National Provider Directory
Tax ID family
Park Ridge Nursing Home Inc8 organizations share this tax ID, including this one
Part of
Park Ridge Nursing Home Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1205377223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146125758",
            "telephone_number": "585-254-7990",
            "fax_number": "585-254-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146125758",
            "telephone_number": "585-254-7990",
            "fax_number": "585-254-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE LIVING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK RIDGE NURSING HOME, INC.",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR. VP BH, HOME & COM, MLTC/PACE",
        "authorized_official_telephone_number": "585-368-3287"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRNH Non-Occupant ADC St. Bernards",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 9, 2017; 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.