Organization Active NPI

Grandville Senior Living Community

  • Assisted Living Facility
  • Rochester, NY
National Provider Identifier
1497916043
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRANDVILLE SENIOR LIVING COMMUNITY
Practice address
555 Maiden LN
Rochester, NY 14616-4148
Phone
(585) 621-6160
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Michael Panaggio
Title
Administrator
Phone
(585) 381-0680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

555 Maiden LN
Rochester, NY 14616-4148

Mailing address

555 Maiden LN
Rochester, NY 14616-4148

National Provider Directory

National Provider Directory

Locations

555 Maiden Ln
Rochester, NY 14616
Phone (585) 621-6160

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1497916043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MAIDEN LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MAIDEN LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164148",
            "telephone_number": "585-621-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE SENIOR LIVING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PANAGGIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-381-0680"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 17, 2008; 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.