St. John'S Nursing Home Non Occ

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ST. JOHN'S NURSING HOME NON OCC

Practice address

150 Highland Ave
Rochester, NY 14620-3024

Phone

(585) 271-5413

Fax

(585) 760-1497

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Runyon

Title

Ceo, President

Phone

(585) 760-1202

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Johns Health Care Co2 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.

• St Johns Health Care Corporation

  • Long Term Care Pharmacy
  • Rochester, NY
  • NPI 1275546863
  NPD tax ID

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497958987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-271-5413",
            "fax_number": "585-760-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203024",
            "telephone_number": "585-271-5413",
            "fax_number": "585-760-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S NURSING HOME NON OCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "585-760-1202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Ann'S Home for the Aged
• Erin St. George
• Eleanor Pope St. John
• Robin D St. John, LPN
• Thomas St. John Jr.
• Julia St. Louis, MHC-P
• Thomas William St.Amant, RPA-C
• Monica Marie St.Croix
• Nyvek Quadir St.James
• Matthew James St.John, MD

• Adult Day Care Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.