David J Wegman

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

370F208 Issued in NY

Legal business name

DAVID J WEGMAN

Doing business as

Angels in Your Home
Hilton East Assisted Living

Practice address

231 East Ave
Hilton, NY 14468-1333

Phone

(585) 392-7171

Fax

(585) 392-3631

NPI assigned

Mar 28, 2007

Last updated

Dec 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Omar S Mohamed

Title

Outsourced Controller

Phone

(585) 392-7171

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Angels in Your Home Doing business as
• Hilton East Assisted Living Doing business as

Tax ID family

Angels in Your Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hilton East Assisted Living

  dba David J. Wegman

  • Exclusive Provider Organization
  • Hilton, NY
  • NPI 1164525259
  NPD tax ID

Locations

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.

• David Wegman

  • Home Health Agency
  • Rochester, NY
  • NPI 1083117550
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1316066566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 EAST AVE",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681333",
            "telephone_number": "585-392-7171",
            "fax_number": "585-392-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 EAST AVE",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144681333",
            "telephone_number": "585-392-7171",
            "fax_number": "585-392-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146153007",
            "country_code": "US",
            "telephone_number": "585-392-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID J WEGMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OUTSOURCED CONTROLLER",
        "authorized_official_telephone_number": "585-392-7171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "370F208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels in Your Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilton East Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CVS Albany, L.L.C. (CVS Pharmacy # 05076)
• CVS Pharmacy
• Dakota Medical Transportation LLC
• Sophia Daniel
• Chotsani P Daniels, OTR/L
• Deanna Marie Debay, M.A., CCC-SLP
• Deborah a Wilson
• Abigail I Derefinko, RN
• Jeffrey Paul Dick, D.D.S.
• Molly Dingwall, MD

• Assisted Living Facility in Hilton, NY
• Providers in Hilton, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.