Edna Tina Wilson Living Center

LBN: North Park Nursing Home, Inc.
Edna Tina Wilson Living Center is an health care organization with primary practice located at 700 Island Cottage Rd , Rochester NY 14612-2312. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. North Park Nursing Home, Inc. can be contacted via phone (585) 368-6100, or through Teugeman, Amanda via phone (585) 368-6105.

Contact Information

Primary practice address
700 Island Cottage Rd Rochester NY 14612-2312
Phone: (585) 368-6100
Fax: (585) 368-6110
Website:
Map and Directions
Authorized official contact:
Name: Teugeman, Amanda
Phone: (585) 368-6105

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1811044522
LBN Legal business name North Park Nursing Home, Inc.
DBA Doing business as Edna Tina Wilson Living Center
Authorized official Teugeman, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 10th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811044522 NPPES
New York MEDICAID 01447869
New York Other NH620
New York Other 0150059ET

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