Organization Active NPI

Glidedowan LLC

  • Home Health Agency
  • Rochester, NY
National Provider Identifier
1487033890
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GLIDEDOWAN LLC
Practice address
742 South Clinton Avenue
Rochester, NY 14620
Phone
(585) 454-1776
Fax
(585) 454-4266
NPI assigned
May 19, 2015
Organization subpart
Yes
Parent organization
GLIDEDOWAN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Mr. Thomas A Hanna Jr.
Title
President
Phone
(585) 454-1776

Specialties & licenses 1

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

Addresses

Primary practice location

742 South Clinton Avenue
Rochester, NY 14620

Mailing address

742 South Clinton Avenue
Rochester, NY 14620
Phone (585) 454-1776

Other identifiers 1

IdentifierTypeStateIssuer
04160909MedicaidNY

Other names 1

  • All-American Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
Glidedowan LLC

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1487033890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 SOUTH CLINTON AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-454-1776",
            "fax_number": "585-454-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 SOUTH CLINTON AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-454-1776",
            "fax_number": "585-454-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIDEDOWAN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLIDEDOWAN, LLC",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-454-1776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04160909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-American Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All-American Home Care",
            "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 Jun 26, 2019; 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.