Active NPI
Heritage Christian Services Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- East Rochester, NY
National Provider Identifier
1700077443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HERITAGE CHRISTIAN SERVICES INC
- Practice address
- 349 West Commercial Street
Suite 2795
East Rochester, NY 14445 - Phone
- (585) 340-2000
- Fax
- (585) 340-2006
- NPI assigned
- Aug 7, 2007
- Last updated
- Dec 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marisa Geitner
- Title
- President & Ceo
- Phone
- (585) 340-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1901L001 | NY | |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
349 West Commercial Street
Suite 2795
East Rochester, NY 14445
Mailing address
349 West Commercial Street
Suite 2795
East Rochester, NY 14445
Phone (585) 340-2000
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02557959 | Medicaid | NY | |
| 02587300 | Medicaid | NY | |
| 02610997 | Medicaid | NY | |
| 01999366 | Medicaid | NY | |
| 02247276 | Medicaid | NY | |
| 02532841 | Medicaid | NY | |
| 02596110 | Medicaid | NY | |
| 01522623 | Medicaid | NY | |
| 01855852 | Medicaid | NY | |
| 01984918 | Medicaid | NY | |
| 02171153 | Medicaid | NY | |
| 02594301 | Medicaid | NY | |
| 01750650 | Medicaid | NY | |
| 01960663 | Medicaid | NY | |
| 01999499 | Medicaid | NY | |
| 02463207 | Medicaid | NY | |
| 02266888 | Medicaid | NY | |
| 02416228 | Medicaid | NY | |
| 02119244 | Medicaid | NY | |
| 02594310 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Christian Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Rochester, NY
- NPI 1053898783
Locations
349 W Commercial St
Ste 2795
East Rochester, NY 14445
Phone (585) 340-2000
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- East Rochester, NY
- NPI 1427368166
-
- Specialist
- East Rochester, NY
- NPI 1316257082
-
- Speech-Language Pathologist
- East Rochester, NY
- NPI 1740210848
-
- Physical Therapist
- East Rochester, NY
- NPI 1841320496
-
- Physical Therapist
- East Rochester, NY
- NPI 1851428908
-
- Speech-Language Pathologist
- East Rochester, NY
- NPI 1770883860
-
- Speech-Language Pathologist
- East Rochester, NY
- NPI 1841329901
-
- Pediatric Occupational Therapist
- East Rochester, NY
- NPI 1487976015
-
- Speech-Language Pathologist
- East Rochester, NY
- NPI 1518267707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418601600000",
"number": "1700077443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 WEST COMMERCIAL STREET",
"address_2": "SUITE 2795",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "14445",
"telephone_number": "585-340-2000",
"fax_number": "585-340-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 WEST COMMERCIAL STREET",
"address_2": "SUITE 2795",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "14445",
"telephone_number": "585-340-2000",
"fax_number": "585-340-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE CHRISTIAN SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2014-12-15",
"status": "A",
"authorized_official_last_name": "GEITNER",
"authorized_official_first_name": "MARISA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "585-340-2000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "1901L001",
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02557959",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02587300",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02610997",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01999366",
"state": "NY"
},
{
"code": "05",
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"issuer": null,
"identifier": "02247276",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02532841",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02596110",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01522623",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01855852",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01984918",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02171153",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02594301",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01750650",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01960663",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01999499",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02463207",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02266888",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02416228",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02119244",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02594310",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.