Organization
NASCENTIA COMMUNITY CARE
Active
Other names
CCH HOME CARE & PALLIATIVE SERVICES, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATE ROLF (PRESIDENT/CEO)
(315) 477-9595
Entity
Organization
Contact information
Practice address
1050 W GENESEE ST, SYRACUSE, NY 13204-2215
(315) 641-2385
Mailing address
1050 W GENESEE ST, SYRACUSE, NY 13204-2215
(315) 641-2385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3301606
NY
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00396098
—
NY
01
—
3301330R
OPERATING CERTIFICATE
NY
Enumeration date
09/01/2005
Last updated
02/20/2025
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