Lifetime Health Medical Group
LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 1185 Sweet Home Rd , Amherst NY 14226-1018. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Body Imaging, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care, Laboratories / Clinical Medical Laboratory, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Genesee Valley Group Health Association can be contacted via phone (716) 668-9004, or through Carlascio, Deborah via phone (585) 336-4841.
Contact Information
Primary practice address
1185 Sweet Home Rd
Amherst NY 14226-1018
Phone: (716) 668-9004
Fax: (716) 689-3467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1295751261 |
|---|---|
| LBN Legal business name | Genesee Valley Group Health Association |
| DBA Doing business as | Lifetime Health Medical Group |
| Authorized official | Carlascio, Deborah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 5th, 2015 - about 9 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 | 1295751261 | NPPES |
| New York | MEDICAID | 3001856 |
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