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EASTER SEALS OF NY INC-KESSLER ICF B NPI 1679024210


NPI Information

NPI: 1679024210
Provider Name: EASTER SEALS OF NY INC-KESSLER ICF B

Other Name: THE KESSLER CENTER OF EASTER SEALS NY

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
304 DALEY BLVD
ROCHESTER, NY
ZIP 14617
Phone: (585) 957-7206
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EASTER SEALS OF NY INC-KESSLER ICF B is an intermediate care facility mental illness in Rochester, NY. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. EASTER SEALS OF NY INC-KESSLER ICF B NPI is 1679024210. The provider is registered as an organization entity type.
The provider Other Name Is The Kessler Center Of Easter Seals Ny.

The provider's business location address is:

304 DALEY BLVD
ROCHESTER, NY
ZIP 14617-848
Phone: (585) 957-7206

The provider's authorized official is Karen Wegmann .
The authorized official title is Cfo and has the following contact phone number (212) 727-4214.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite CareNo
2310500000XIntermediate Care Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103378970MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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