Healthcare Provider Details

I. General information

NPI: 1740554229
Provider Name (Legal Business Name): GREATER ROCHESTER HEALTH HOME NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SOUTH WASHINGTON ST.
ROCHESTER NY
14614
US

IV. Provider business mailing address

1 SOUTH WASHINGTON ST.
ROCHESTER NY
14614
US

V. Phone/Fax

Practice location:
  • Phone: 585-750-2444
  • Fax: 585-423-2816
Mailing address:
  • Phone: 585-750-2444
  • Fax: 585-423-2816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL TEGAS
Title or Position: CEO
Credential:
Phone: 585-450-2444