Organization Active NPI

Mission Access, LLC

Doing business as Mission Health and Home

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1306475330
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MISSION ACCESS, LLC
Doing business as
Mission Health and Home
Practice address
215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256
Phone
(585) 259-6656
NPI assigned
Apr 2, 2020
Last updated
Apr 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Jonathan Walters
Title
Owner/Partner
Phone
(585) 259-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256

Mailing address

215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256
Phone (585) 259-6656

Other names 1

  • Mission Health and Home Doing business as

National Provider Directory

National Provider Directory

Locations

215 Mushroom Blvd
Bldg 18
Rochester, NY 14623
Phone (585) 259-6656

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1306475330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MUSHROOM BLVD BLDG 18",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233256",
            "telephone_number": "585-259-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MUSHROOM BLVD BLDG 18",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233256",
            "telephone_number": "585-259-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION ACCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "585-259-6656"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Health and Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 2020; 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.