ELDER ONE - NPI 1144557141 - Home Health in Rochester, NY

Q: What is Elder One's NPI number?

The NPI number for Elder One is 1144557141. It was assigned to this organization in the NPPES registry on November 11, 2009.

Q: What is Elder One's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Elder One was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

On this page

About Elder One NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELDER ONE (NPI 1144557141) is a healthcare organization registered as a home health in Rochester, New York and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Paula Tinch, Svp-cfo, as its authorized official.

NPPES Registry Identity

NPI1144557141

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameELDER ONE

Location Address2066 HUDSON AVERochester, NY 14617-4300

Mailing Address2066 Hudson AveRochester, NY 14617-4300 · (585) 922-2800 · Fax (585) 922-2864

Phone(585) 922-2800

Fax(585) 922-2864

Organization SubpartYesParent: Rochester General

Authorized OfficialPaula TinchSvp-cfo · (585) 922-1233

Enumeration DateNovember 11, 2009

Last NPPES UpdateMay 19, 2014

✔ NPI 1144557141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in NY · 2701907L

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

2066 HUDSON AVE, Rochester, NY 14617

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Other Identifiers 1

Medicare OSCAR/certification337271NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2106427

Elderone · Rochester, NY

Active · expires Mar 26, 2027

CLIA Number33D2106427

Laboratory TypeHome Health Agency

Certificate Effective DateDecember 17, 2015

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Stephen D. Ryan

Laboratory Phone(585) 922-2800

Laboratory LocationElderone2066 Hudson Avenue, Rochester, NY 14617

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY ORMOND PAC

Physician Assistant (Medical)