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GAVIA LIFECARE CENTER LLC NPI 1710592209


NPI Information

NPI: 1710592209
Provider Name: GAVIA LIFECARE CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1343 LONG POND RD STE A
ROCHESTER, NY
ZIP 14626
Phone: (585) 371-6464
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GAVIA LIFECARE CENTER, LLC is a mental health (including community mental health center) clinic center in Rochester, NY. GAVIA LIFECARE CENTER, LLC NPI is 1710592209. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1343 LONG POND RD STE A
ROCHESTER, NY
ZIP 14626-913
Phone: (585) 371-6464
Fax: (585) 371-6464

The provider's authorized official is Sherry L. Nau .
The authorized official title is Executive Director and has the following contact phone number (585) 371-6464.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 4/22/2021.


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
11041C0700XSocial WorkerClinicalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.