ST JOHNS HEALTH CARE CORPORATION
Skilled Nursing Facility
Rochester, New York
Provider NPI: 1164425971
Organization Information:Organization Name: ST JOHNS HEALTH CARE CORPORATION
Practice Location:
150 HIGHLAND AVENUE ROCHESTER, NY 14620 US
Tel: 585-760-1300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
150 HIGHLAND AVENUE ROCHESTER, NY 14620 US
Tel: 585-760-1300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | ||
N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | ||
N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00355591 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin