1306901913 NPI number — ROCHESTER REHABILITATION CENTER, INC

Table of content: LAURA P MORRIS ACNP-C (NPI 1629092853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306901913 NPI number — ROCHESTER REHABILITATION CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCHESTER REHABILITATION CENTER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306901913
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 ELMWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14620-3042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-271-2520
Provider Business Mailing Address Fax Number:
585-295-8029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 ELMWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14620-3042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-271-2520
Provider Business Practice Location Address Fax Number:
585-295-8029
Provider Enumeration Date:
12/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KELLY
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM CEO
Authorized Official Telephone Number:
585-271-2520

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251V00000X , with the licence number: 2701223R , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 014625950 . This is a "BEHAVIORAL HEALTH BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 103335EL . This is a "CORF PC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 014635950 . This is a "OCCUPATIONAL THERAPY BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 014635950 . This is a "SPEECH THERAPY BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 103335FT . This is a "PHYSICAL THERAPY PC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 103335FU . This is a "SPEECH THERAPY PC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 014555950 . This is a "PHYSICAL THERAPY BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 014005950 . This is a "OTHER SERVICES BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0217066 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103335EU . This is a "BEHAVIORAL HEALTH PC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00355317 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 014665950 . This is a "PARTIAL HOSP BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 103335FR . This is a "OCCUPTATIONAL THERAPY PC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5535497 . This is a "CORF AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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