MEDICARE: FINGER LAKES HOME CARE, INC.

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
1	374U00000X	Home Health Aide	3402901L	NY
2	374U00000X	Home Health Aide
3	251E00000X	Home Health Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1588684906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINGER LAKES HOME CARE, INC.

Provider Business Mailing Address
First Line	:	789 PRE EMPTION RD STE 450
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-2070
Country	:	US
Telephone Number	:	585-787-2233
Fax Number	:	585-787-8740

Provider Business Practice Location Address
First Line	:	756 PRE EMPTION RD.
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-1336
Country	:	US
Telephone Number	:	315-789-9821
Fax Number	:	315-789-4034

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	GREG T. HUTTON
Credential	:
Telephone Number	:	585-274-4225

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/08/2026

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