ANDREWS TERRACE – NPI #1457626129
Clinic/Center

ANDREWS TERRACE is an AHC clinic located in ROCHESTER, NY. NPPES has assigned the NPI number 1457626129 to ANDREWS TERRACE on March 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANDREWS TERRACE” is a dba name, the actual legal business name for this organization is ANTHONY L. JORDAN HEALTH CORPORATION. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 12 years ago on Feb 20, 2014. 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 ANDREWS TERRACE below.

NPI Profile for
ANTHONY L. JORDAN HEALTH CORPORATION

NPI Number
1457626129
Enumeration Date

(more than 14 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
ANTHONY L. JORDAN HEALTH CORPORATION
Doing Business As (dba): ANDREWS TERRACE
Primary location
125 SAINT PAUL ST
ROCHESTER, NY 14609
Phone: (585) 325-5232 Fax: (585) 546-3485
Mailing address
82 HOLLAND ST
ROCHESTER, NY 14605-2131
Phone: (585) 423-5800 Fax: (585) 423-2860
Organization Subpart
Yes - ANDREWS TERRACE is subpart of another organization.
Authorized Official
JANICE HARBIN
PRESIDENT/CEO
Phone: (585) 423-2878
Updated
Identifiers

Identifiers for ANDREWS TERRACE

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CHOICE OF ROCHESTERNYG0187295590
OTHERBLUE CROSS OF ROCHESTERNY6613
OTHERMEDICARE PART ANY331838
OTHERMEDICARE PART BNY16467A
MEDICAIDNY00384969
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
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NY 2701211R

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.