HERITAGE CHRISTIAN SERVICES INC NPI 1700077443

NPI Information

NPI: 1700077443
Provider Name: HERITAGE CHRISTIAN SERVICES INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 33D2208519

Address:
349 WEST COMMERCIAL STREET
SUITE 2795
EAST ROCHESTER, NY
ZIP 14445
Phone: (585) 340-2000
Get Directions

HERITAGE CHRISTIAN SERVICES INC is a residential treatment facility, intellectual and/or developmental disabilities in East Rochester, NY. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HERITAGE CHRISTIAN SERVICES INC NPI is 1700077443. The provider is registered as an organization entity type.

The provider's business location address is:

349 WEST COMMERCIAL STREET
SUITE 2795
EAST ROCHESTER, NY
ZIP 14445
Phone: (585) 340-2000
Fax: (585) 340-2006

The provider's authorized official is Marisa Geitner .
The authorized official title is President & Ceo and has the following contact phone number (585) 340-2000.

The CLIA number assigned to this NPI record is 33D2208519 - other - ira for dev disabled with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 12/15/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		1901L001	NEW YORK	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01960663	MEDICAID	NEW YORK
2	01984918	MEDICAID	NEW YORK
3	01750650	MEDICAID	NEW YORK
4	01522623	MEDICAID	NEW YORK
5	02610997	MEDICAID	NEW YORK
6	01999499	MEDICAID	NEW YORK
7	02171153	MEDICAID	NEW YORK
8	02247276	MEDICAID	NEW YORK
9	02594301	MEDICAID	NEW YORK
10	02596110	MEDICAID	NEW YORK
11	01855852	MEDICAID	NEW YORK
12	02557959	MEDICAID	NEW YORK
13	01999366	MEDICAID	NEW YORK
14	02463207	MEDICAID	NEW YORK
15	02532841	MEDICAID	NEW YORK
16	02594310	MEDICAID	NEW YORK
17	02119244	MEDICAID	NEW YORK
18	02266888	MEDICAID	NEW YORK
19	02416228	MEDICAID	NEW YORK
20	02587300	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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