Organization Active NPI

Nursecore Management Services-New York, L.L.C.

  • Home Health Agency
  • Rochester, NY
National Provider Identifier
1407125271
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1798-L001 Issued in NY
Legal business name
NURSECORE MANAGEMENT SERVICES-NEW YORK, L.L.C.
Practice address
1302 Scottsville Rd
Rochester, NY 14624-5128
Phone
(585) 341-4499
Fax
(585) 341-4498
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mrs. Deborah Lollar
Title
President / Ceo
Phone
(817) 649-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1798-L001 NY Primary

Addresses

Primary practice location

1302 Scottsville Rd
Rochester, NY 14624-5128

Mailing address

PO Box 201925
Arlington, TX 76006-1925
Phone (817) 649-1166

Other identifiers 1

IdentifierTypeStateIssuer
04919242MedicaidNY

Other names 1

  • NURSECORE OF ROCHESTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nursecore Management Services-New York LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1302 Scottsville Rd
Rochester, NY 14624
Phone (585) 341-4499

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1407125271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201925",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760061925",
            "telephone_number": "817-649-1166",
            "fax_number": "817-649-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245128",
            "telephone_number": "585-341-4499",
            "fax_number": "585-341-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSECORE MANAGEMENT SERVICES-NEW YORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "LOLLAR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "817-649-1166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1798-L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04919242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSECORE OF ROCHESTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NURSECORE OF ROCHESTER",
            "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 19, 2022; 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.