NPIMap

Organization Active NPI

Park Ridge Nursing Home, Inc.

  • Emergency Response System Companies
  • Rochester, NY
National Provider Identifier
1316488430
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Response System CompaniesTaxonomy code 333300000X
Legal business name
PARK RIDGE NURSING HOME, INC.
Practice address
89 Genesee St
Rochester, NY 14611-3201
Phone
(585) 368-4663
Fax
(585) 368-6395
NPI assigned
Mar 9, 2017
Organization subpart
No

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
Mrs. Susan Bourne
Title
Vice President Home Care
Phone
(585) 368-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Response System Companies 333300000X Primary

Addresses

Primary practice location

89 Genesee St
Rochester, NY 14611-3201

Mailing address

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-4663

Other identifiers 1

IdentifierTypeStateIssuer
01396670MedicaidNY

Other names 1

  • HealthCall Other name

National Provider Directory

National Provider Directory
Tax ID family
Park Ridge Nursing Home Inc8 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.

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": "1316488430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-4663",
            "fax_number": "585-368-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 GENESEE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113201",
            "telephone_number": "585-368-4663",
            "fax_number": "585-368-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VICE PRESIDENT HOME CARE",
        "authorized_official_telephone_number": "585-368-6454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01396670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCall",
            "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.