Provider Demographics
NPI:1740400969
Name:LIVINGSTON COUNTY CENTER FOR NURSING AND REHABILITATION-ADHC
Entity Type:Organization
Organization Name:LIVINGSTON COUNTY CENTER FOR NURSING AND REHABILITATION-ADHC
Other - Org Name:GARDEN OF LIFE DAY PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF LTC ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:NEWELL
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LNHA
Authorized Official - Phone:585-243-7217
Mailing Address - Street 1:11 MURRAY HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510
Mailing Address - Country:US
Mailing Address - Phone:585-243-7217
Mailing Address - Fax:585-243-7269
Practice Address - Street 1:11 MURRAY HILL DR
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510-1153
Practice Address - Country:US
Practice Address - Phone:585-243-7217
Practice Address - Fax:585-243-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00712592Medicaid