FAIRPORT BAPTIST HOME ADHC; NPI #1134457849

Contact Information

FAIRPORT BAPTIST HOME ADHC

14001 S PLYMOUTH AVE
ROCHESTER, NY 14611

Phone: 585-388-2303
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Day Care	261QA0600X

Indicates primary specialty

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NPI Profile & details for FAIRPORT BAPTIST HOME ADHC

NPI # 1134457849

LBN Legal business name FAIRPORT BAPTIST HOME ADHC

Authorized official GERARD WOYTASH - (VICE PRESIDENT OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/19/2009

Last updated 11/19/2009 - About 17 years ago

Identifiers

Medicaid

01703382

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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