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NPI Code Detail

MEDICARE: THE SHORE WINDS, LLC.

MEDICARE: THE SHORE WINDS, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2701359NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467457598
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SHORE WINDS, LLC.
Provider Business Mailing Address
First Line : 740 EAST AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14607-2107
Country : US
Telephone Number : 585-244-0410
Fax Number : 585-244-1208
Provider Business Practice Location Address
First Line : 425 BEACH AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-2011
Country : US
Telephone Number : 585-663-0930
Fax Number : 585-663-6368
Authorized Official
Title or Position : OWNER/MEMBER
Name : MR. ROBERT W HURLBUT
Credential :
Telephone Number : 585-244-0410
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/24/2015

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Directions to “THE SHORE WINDS, LLC. ” Practice Location

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