Lifetimes Adult Day Health Care
LBN: Fairport Baptist Homes
Lifetimes Adult Day Health Care is an health care organization with primary practice located at 4646 Nine Mile Point Rd , Fairport NY 14450-1163. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Long Term Care Pharmacy. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Fairport Baptist Homes can be contacted via phone (585) 388-2303, or through Poelma, Thomas H. via phone (585) 388-2300.
Contact Information
Primary practice address
4646 Nine Mile Point Rd
Fairport NY 14450-1163
Phone: (585) 388-2303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 2725300N | New York |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1164435111 |
|---|---|
| LBN Legal business name | Fairport Baptist Homes |
| DBA Doing business as | Lifetimes Adult Day Health Care |
| Authorized official | Poelma, Thomas H. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Oct 23rd, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164435111 | NPPES |
| Other | 105934CI | PREFERRED CARE | |
| Other | 105934FQ | PREFERRED CARE | |
| Other | P015005960 | PREFERRED CARE | |
| MEDICAID | 00395657 | PREFERRED CARE | |
| MEDICAID | 01703382 | PREFERRED CARE |
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