Organization
GERRY HOMES INC
Active
Other names
Heritage Green Rehab & Skilled Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HAGLUND (CEO)
(716) 483-5000
Entity
Organization
Contact information
Practice address
3023 ROUTE 430, GREENHURST, NY 14742-0400
(716) 483-5000
(716) 488-2414
Mailing address
PO BOX 365, GERRY, NY 14740-0365
(716) 985-6812
(716) 985-6607
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0658301N
NY
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011450401
SENIOR CHOICE
NY
05
—
01520350
—
NY
01
—
335721
MEDICARE PROVIDER NUMBER
—
Enumeration date
06/22/2005
Last updated
12/05/2025
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