GERRY HOMES INC NPI 1912090184

NPI Information

NPI: 1912090184
Provider Name: GERRY HOMES INC
Classification: Clinic/Center - 261QR0401X
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Entity Type: Organization
Doing Business As: HERITAGE GREEN OUTPATIENT THERAPY CLINIC
Address: 3023 ROUTE 430
GREENHURST, NY
ZIP 14742
Phone: (716) 483-5000

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NPI Details

GERRY HOMES INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Greenhurst, NY. GERRY HOMES INC NPI is 1912090184. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Green Outpatient Therapy Clinic.

The provider's business location address is:

3023 ROUTE 430
GREENHURST, NY
ZIP 14742
Phone: (716) 483-5000

The provider's authorized official is Matthew Boswell .
The authorized official title is Vice President Of Finance and has the following contact phone number (716) 338-9766.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/13/2022.

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	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			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	Other Provider Identifier Issuer
1	Y4	OTHER	NEW YORK	INDEPENDENT HEALTH
2	00011450401	OTHER	NEW YORK	UNIVERA PROVIDER ID

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: 11/21/2025

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