Healthcare Provider Details

I. General information

NPI: 1588684906
Provider Name (Legal Business Name): FINGER LAKES HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

756 PRE EMPTION RD.
GENEVA NY
14456-1336
US

IV. Provider business mailing address

756 PRE EMPTION RD.
GENEVA NY
14456-1336
US

V. Phone/Fax

Practice location:
  • Phone: 315-789-9821
  • Fax: 315-789-4034
Mailing address:
  • Phone: 585-787-2233
  • Fax: 585-787-8740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number3402901L
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GREG T. HUTTON
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 585-274-4225