St. John'S Home

LBN: St Johns Health Care Corporation
St. John'S Home is an health care organization with primary practice located at 150 Highland Avenue , Rochester NY 14620. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. St Johns Health Care Corporation can be contacted via phone (585) 760-1300, or through Russo, Mary G via phone (585) 760-1421.

Contact Information

Primary practice address
150 Highland Avenue Rochester NY 14620
Phone: (585) 760-1300
Fax: (585) 760-1497
Website:
Map and Directions
Authorized official contact:
Name: Russo, Mary G CPA
Phone: (585) 760-1421

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1164425971
LBN Legal business name St Johns Health Care Corporation
DBA Doing business as St. John'S Home
Authorized official Russo, Mary G CPA
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jan 25th, 2016 - about 8 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 1164425971 NPPES
New York MEDICAID 00355591

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