Healthcare Provider Details

I. General information

NPI: 1376411405
Provider Name (Legal Business Name): ST ANN'S SOCIAL ADULT DAY SERVICES AT DURAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 CULVER RD
ROCHESTER NY
14622-1239
US

IV. Provider business mailing address

1500 PORTLAND AVE
ROCHESTER NY
14621-3065
US

V. Phone/Fax

Practice location:
  • Phone: 585-697-6086
  • Fax:
Mailing address:
  • Phone: 585-697-6342
  • Fax: 585-544-4226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIANETTE RODRIGUEZ
Title or Position: ASSOCIATE DIRECTOR OF REVENUE
Credential:
Phone: 585-697-6342