Provider Demographics
NPI:1598005886
Name:BEECH DEVELOPMENT CORP
Entity Type:Organization
Organization Name:BEECH DEVELOPMENT CORP
Other - Org Name:COMFORCARE SENIOR SERVICES-ROCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:JUDD
Authorized Official - Suffix:
Authorized Official - Credentials:NYS LHCSA
Authorized Official - Phone:585-381-5439
Mailing Address - Street 1:3380 MONROE AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4726
Mailing Address - Country:US
Mailing Address - Phone:585-381-5439
Mailing Address - Fax:888-350-0210
Practice Address - Street 1:3380 MONROE AVE STE 116
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4726
Practice Address - Country:US
Practice Address - Phone:585-381-5439
Practice Address - Fax:888-350-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLHCSA-2226-L001253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care