34Home Nursing

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

124749-1 Issued in NY

Legal business name

34HOME NURSING

Practice address

5121 West Lake Road
Canandaigua, NY 14424

Phone

(585) 396-2001

NPI assigned

Nov 13, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn A Berry

Title

LPN

Phone

(315) 585-4445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1982775441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 YALE FARM RD",
            "city": "ROMULUS",
            "state": "NY",
            "postal_code": "145419718",
            "telephone_number": "315-585-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 WEST LAKE ROAD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-396-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "34HOME NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "315-585-4445"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "124749-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.