NPIMap

Organization Active NPI

Hillside Children's Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Rochester, NY
National Provider Identifier
1285875054
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
7484041 Issued in NY
Legal business name
HILLSIDE CHILDREN'S CENTER
Practice address
1183 Monroe Avenue
Accounts Receivable
Rochester, NY 14620
Phone
(585) 654-1418
Fax
(585) 654-1450
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mr. Gary Antinone
Title
Accounts Receivable
Phone
(585) 654-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 7484041 NY Primary

Addresses

Primary practice location

1183 Monroe Avenue
Accounts Receivable
Rochester, NY 14620

Mailing address

1183 Monroe Avenue
Accounts Receivable
Rochester, NY 14620
Phone (585) 654-1418

Other identifiers 1

IdentifierTypeStateIssuer
01421085MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Hillside Children's Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1285875054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVENUE",
            "address_2": "ACCOUNTS RECEIVABLE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-654-1418",
            "fax_number": "585-654-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVENUE",
            "address_2": "ACCOUNTS RECEIVABLE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-654-1418",
            "fax_number": "585-654-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "ANTINONE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "585-654-1418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NY",
            "license": "7484041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421085",
            "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 Mar 9, 2009; 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.