Healthcare Provider Details
I. General information
NPI: 1801819271
Provider Name (Legal Business Name): GENESEE REGION HOME CARE ASSOCIATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
330 MONROE AVE
ROCHESTER NY
14607-3696
US
IV. Provider business mailing address
330 MONROE AVE
ROCHESTER NY
14607-3696
US
V. Phone/Fax
- Phone: 585-214-1000
- Fax: 585-214-1136
- Phone: 585-214-1000
- Fax: 585-214-1136
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | 2701600 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 2701600 |
| License Number State | NY |
VIII. Authorized Official
Name:
COLLEEN
ROSE
Title or Position: VP, HOME HEALTH AND HOSPICE
Credential:
Phone: 585-214-1000