ADOLESCENT COMMUNITY RESIDENCE – NPI #1255482535
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

ADOLESCENT COMMUNITY RESIDENCE is a substance abuse rehabilitation facility located in ROCHESTER, NY. NPPES has assigned the NPI number 1255482535 to ADOLESCENT COMMUNITY RESIDENCE on January 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADOLESCENT COMMUNITY RESIDENCE” is a dba name, the actual legal business name for this organization is PRCD, INC.. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 11 years ago on Jan 14, 2015. 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 ADOLESCENT COMMUNITY RESIDENCE below.

NPI Profile for
PRCD, INC.

NPI Number
1255482535
Enumeration Date

(more than 19 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
PRCD, INC.
Doing Business As (dba): ADOLESCENT COMMUNITY RESIDENCE
Primary location
2654 RIDGEWAY AVE
ROCHESTER, NY 14626-4209
Phone: (585) 723-7350 Fax: (585) 723-7353
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUGLAS STEWART
PRESIDENT HEALTH CARE SERVICES
Phone: (585) 723-7185
Updated
Identifiers

Identifiers for ADOLESCENT COMMUNITY RESIDENCE

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
MEDICAIDNY02754676
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (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.