Organization · Type 2 NPI

Park Ridge Living Center

Adult Day Care Clinic/Center · Rochester, NY

NPI number 1205377223 Active

Practice location

2260 Lake Ave
Rochester, NY 14612-5758

Fax (585) 254-8139

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

4 other providers at this address

Park Ridge Living CenterAdult Day Care Clinic/Center Rochester, NY NPI 1023166378
James Briggs, RPA-CMedical Physician Assistant Rochester, NY NPI 1275565368
Jamila Walida Wiggins, LPNLicensed Practical Nurse Rochester, NY NPI 1437313707
Katherine Wolcott, FNPFamily Nurse Practitioner Rochester, NY NPI 1013355189

Other adult day care clinic/center providers in Rochester

See all in Rochester →

NPI record

NPI: 1205377223
Entity type: Organization (Type 2)
Issued: Mar 9, 2017
Last updated: Mar 9, 2017
Status: Active
Subpart: Yes of Park Ridge Nursing Home, Inc.

Other names

<unavail>
PRNH Non-Occupant Adc St. Bernards · other name

Authorized official

Kathryn A McGuire
Sr. VP Bh, Home & Com, Mltc/pace
(585) 368-3287

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1205377223

Park Ridge Living Center's National Provider Identifier is 1205377223, issued on Mar 9, 2017. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Rochester, NY. The record was last updated on Mar 9, 2017.