Provider Demographics
NPI:1437646981
Name:AGA OPERATING LLC
Entity Type:Organization
Organization Name:AGA OPERATING LLC
Other - Org Name:THE BROOK AT HIGH FALLS NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ARYEH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINSPAN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:347-273-5723
Mailing Address - Street 1:210 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1235
Mailing Address - Country:US
Mailing Address - Phone:585-394-3883
Mailing Address - Fax:
Practice Address - Street 1:2150 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1415
Practice Address - Country:US
Practice Address - Phone:585-342-5540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270135710314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility