Organization
JEWISH HOME OF ROCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MCILVEEN (CFO)
(585) 784-6485
Entity
Organization
Contact information
Practice address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 784-6800
(585) 341-2412
Mailing address
2021 WINTON RD S, ROCHESTER, NY 14618-3957
(585) 784-6603
(585) 341-2412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2750304N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2750304N
—
NY
01
—
335105
MEDICARE PTAN
NY
Enumeration date
10/03/2005
Last updated
02/08/2017
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