NPIMap

Organization Active NPI

Livingston County

  • State or Local Public Health Clinic/Center
  • Mount Morris, NY
National Provider Identifier
1790700086
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
LIVINGSTON COUNTY
Practice address
2 Murray Hill Dr
Mount Morris, NY 14510-1122
Phone
(585) 243-7270
Fax
(585) 243-7287
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Jennifer Rodriguez
Title
Director
Phone
(585) 243-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

2 Murray Hill Dr
Mount Morris, NY 14510-1122

Mailing address

2 Murray Hill Dr
Mount Morris, NY 14510-1122
Phone (585) 243-7270

Other names 1

  • Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000588 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8527027093 Practice locations: Mount Morris, NY; Retsof, NY; Piffard, NY; Nunda, NY; Leicester, NY; Lakeville, NY; Geneseo, NY; Dansville, NY…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Family M16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livingston County Center for Nursing and RehabiliationMount Morris, NY, CCN 335562 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 1976
Nov 1, 1976
Livingston CountyMount Morris, NY, CCN 331553 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 19, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Livingston County
    • Community Based Hospice Care Agency
    • Mount Morris, NY
    • NPI 1326060724

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Livingston County
    • Skilled Nursing Facility
    • Mount Morris, NY
    • NPI 1376761478

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1790700086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MURRAY HILL DR",
            "city": "MOUNT MORRIS",
            "state": "NY",
            "postal_code": "145101122",
            "telephone_number": "585-243-7270",
            "fax_number": "585-243-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MURRAY HILL DR",
            "city": "MOUNT MORRIS",
            "state": "NY",
            "postal_code": "145101122",
            "telephone_number": "585-243-7270",
            "fax_number": "585-243-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "585-243-7270"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Morris, NY

Sources for this page

Verify at the official NPI Registry.