Fairport Baptist Homes Adult Care Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAIRPORT BAPTIST HOMES ADULT CARE FACILITY

Practice address

4646 Nine Mile Point Rd
Fairport, NY 14450-1163

Phone

(585) 388-2303

Fax

(585) 377-2620

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

FAIRPORT BAPTIST HOMESAs reported in NPPES

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

Authorized official

Name

Gerard J Woytash

Title

Vice President of Finance

Phone

(585) 388-2303

Specialties & licenses 1

Addresses

Part of

Fairport Baptist Home

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Fairport Baptist Homes

  • Skilled Nursing Facility
  • Fairport, NY
  • NPI 1164435111
  NPPES parent name

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1902133838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 NINE MILE POINT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501163",
            "telephone_number": "585-388-2303",
            "fax_number": "585-377-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 NINE MILE POINT RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501163",
            "telephone_number": "585-388-2303",
            "fax_number": "585-377-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRPORT BAPTIST HOMES ADULT CARE FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRPORT BAPTIST HOMES",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "WOYTASH",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "585-388-2303"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Evans
• James Everett II
• Bahie Ezzat, MS
• Jennifer Ann Fackelman, OTR
• Fairport Baptist Homes
• Fairport Central School District
• Fairport Chiropractic
• Fairport Dental, P.C.
• Fairport Pediatrics
• Fairport Physical Therapy, PC

• Assisted Living Facility in Fairport, NY
• Providers in Fairport, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.