Provider Demographics
NPI:1801819271
Name:GENESEE REGION HOME CARE ASSOCIATION INC.
Entity Type:Organization
Organization Name:GENESEE REGION HOME CARE ASSOCIATION INC.
Other - Org Name:ROCHESTER REGIONAL HEALTH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, HOME HEALTH AND HOSPICE
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-214-1000
Mailing Address - Street 1:330 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3696
Mailing Address - Country:US
Mailing Address - Phone:585-214-1000
Mailing Address - Fax:585-214-1136
Practice Address - Street 1:330 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3696
Practice Address - Country:US
Practice Address - Phone:585-214-1000
Practice Address - Fax:585-214-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701600251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00487141Medicaid
NYP010105966OtherBLUE CROSS
NYP010003456OtherEXCELLUS FLU
NY00487141Medicaid
NY00487141Medicaid
NY00487141Medicaid