FAIRPORT BAPTIST HOME ADHC – NPI #1134457849
Clinic/Center

FAIRPORT BAPTIST HOME ADHC is an AHC clinic located in ROCHESTER, NY. NPPES has assigned the NPI number 1134457849 to FAIRPORT BAPTIST HOME ADHC on November 19, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FAIRPORT BAPTIST HOME ADHC is also known by the name LIFETIMES ADULT DAY CARE. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRPORT BAPTIST HOME ADHC below.

NPI Profile for
FAIRPORT BAPTIST HOME ADHC

NPI Number
1134457849
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRPORT BAPTIST HOME ADHC
Other Name: LIFETIMES ADULT DAY CARE
Primary location
14001 S PLYMOUTH AVE
ROCHESTER, NY 14611
Phone: (585) 388-2303 Fax:
Mailing address
4646 NINE MILE POINT RD
FAIRPORT, NY 14450-1163
Phone: (585) 388-2303 Fax: (585) 377-2620
Organization Subpart
No
Authorized Official
GERARD WOYTASH
VICE PRESIDENT OF FINANCE
Phone: (585) 388-2303
Updated
Identifiers

Identifiers for FAIRPORT BAPTIST HOME ADHC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01703382
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.