Provider Demographics
NPI:1215203740
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:CEO
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:585-272-1930
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 1:176 US OVAL
Practice Address - Street 2:SUITE 3
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-3900
Practice Address - Country:US
Practice Address - Phone:518-310-0900
Practice Address - Fax:518-310-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2015-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03004482Medicaid
NY00583606Medicaid
NY337024Medicare Oscar/Certification