NPIMap

Organization Active NPI

Depaul Adult Care

  • Assisted Living Facility
  • Rochester, NY
National Provider Identifier
1568534055
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL034028 Issued in NC
Legal business name
DEPAUL ADULT CARE
Practice address
1931 Buffalo Rd
Rochester, NY 14624-1535
Phone
(585) 464-8870
Fax
(585) 464-8077
NPI assigned
Nov 14, 2006
Last updated
Jul 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Mr. James M. Whalen
Title
Cfo
Phone
(585) 426-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL034028 NC Primary

Addresses

Primary practice location

1931 Buffalo Rd
Rochester, NY 14624-1535

Mailing address

1931 Buffalo Rd
Rochester, NY 14624-1535
Phone (585) 464-8870

Other identifiers 13

IdentifierTypeStateIssuer
7804726MedicaidNC
7805958MedicaidNC
7806489MedicaidNC
7806490MedicaidNC
7803857MedicaidNC
7803855MedicaidNC
7805959MedicaidNC
7803342MedicaidNC
7803053MedicaidNC
7803856MedicaidNC
7805636MedicaidNC
7803854MedicaidNC
7805425MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Depaul Adult Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1568534055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241535",
            "telephone_number": "585-464-8870",
            "fax_number": "585-464-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241535",
            "telephone_number": "585-464-8870",
            "fax_number": "585-464-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-426-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL034028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804726",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805958",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806489",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806490",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803857",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803855",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805959",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803342",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803053",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803856",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805636",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803854",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805425",
            "state": "NC"
        }
    ],
    "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 Jul 5, 2011; 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.