Woodside Manor Nursing Home, Inc.

LBN: Woodside Manor Nursing Home, Inc.
Woodside Manor Nursing Home, Inc. is an health care organization with primary practice located at 2425 Clinton Ave S , Rochester NY 14618-2646. 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. Woodside Manor Nursing Home, Inc. can be contacted via phone (585) 461-0370, or through Hurlbut, Robert W via phone (585) 244-0410.

Contact Information

Primary practice address
2425 Clinton Ave S Rochester NY 14618-2646
Fax: (585) 461-5897
Website:
Authorized official contact:
Name: Hurlbut, Robert W

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2750303 New York

Profile Details

NPI number 1528063658
LBN Legal business name Woodside Manor Nursing Home, Inc.
DBA Doing business as
Authorized official Hurlbut, Robert W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528063658 NPPES
New York MEDICAID 00355615

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