Healthcare Provider Details

I. General information

NPI: 1548743438
Provider Name (Legal Business Name): UR MEDICINE HOME CARE COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 EMPIRE BLVD
WEBSTER NY
14580-2029
US

IV. Provider business mailing address

2180 EMPIRE BLVD
WEBSTER NY
14580-2029
US

V. Phone/Fax

Practice location:
  • Phone: 585-787-2233
  • Fax:
Mailing address:
  • Phone: 585-787-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

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