Provider Demographics
NPI:1093173353
Name:L WOERNER INC
Entity Type:Organization
Organization Name:L WOERNER INC
Other - Org Name:HCR AND OR HCR HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-295-6487
Mailing Address - Street 1:85 METRO PARK
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2607
Mailing Address - Country:US
Mailing Address - Phone:585-272-1930
Mailing Address - Fax:585-272-7445
Practice Address - Street 1:290 ELWOOD DAVIS RD STE 104
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-2100
Practice Address - Country:US
Practice Address - Phone:315-280-0681
Practice Address - Fax:315-280-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2505LO001OtherLICENSED HOME CARE SERVICES AGENCY LICENSE
NY04901882Medicaid