NPIMap

Organization Active NPI

Genesee Valley Group Health Association

Doing business as Lifetime Health Medical Group

  • Home Infusion Therapy Pharmacy
  • Henrietta, NY
National Provider Identifier
1265596019
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
024623 Issued in NY
Legal business name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Doing business as
Lifetime Health Medical Group
Practice address
535 Summit Point Dr
Suite #3
Henrietta, NY 14467-9606
Phone
(585) 324-9662
NPI assigned
Dec 19, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESEE VALLEY GROUP HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Deborah Carlascio
Title
Director of Operations
Phone
(585) 336-4841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X 024623 NY Primary

Addresses

Primary practice location

535 Summit Point Dr
Suite #3
Henrietta, NY 14467-9606

Mailing address

800 Carter St
Rochester, NY 14621-2604

Other identifiers 3

IdentifierTypeStateIssuer
P0170059LHOtherNYHOME INFUSION SUPPLIER #
3311937OtherNYINFUSION PHARMACY
02058611MedicaidNY

Other names 1

  • Lifetime Health Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Group Health Associaton52 organizations share this tax ID, including this one
Part of
Genesee Valley Group Health Associaton

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

535 Summit Point Dr
Ste 3
Henrietta, NY 14467
Phone (585) 321-9662

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1265596019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SUMMIT POINT DR",
            "address_2": "SUITE #3",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679606",
            "telephone_number": "585-324-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CARLASCIO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "585-336-4841"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "024623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME INFUSION SUPPLIER #",
            "identifier": "P0170059LH",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFUSION PHARMACY",
            "identifier": "3311937",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02058611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.