Organization
GENESEE VALLEY PRESBYTERIAN NURSING CENTER
Active
Other names
Kirkhaven
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA D BROWN (EXECUTIVE VP/ADMINISTRATOR)
(585) 461-1991
Entity
Organization
Contact information
Practice address
254 ALEXANDER ST, ROCHESTER, NY 14607-2515
(585) 461-1991
(585) 461-9833
Mailing address
254 ALEXANDER ST, ROCHESTER, NY 14607-2515
(585) 461-1991
(585) 461-9833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2701345N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817189
—
NY
01
—
04-21-65
NY STATE REG. NUMBER
NY
01
—
1212440001
DMERC NUMBER
NY
01
—
164047
NYS TAX EXEMPT NUMBER
NY
01
—
2701345N
OPERATING CERTIFICATE
NY
01
—
3164
NYS PFI
NY
Enumeration date
09/22/2005
Last updated
07/30/2021
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