LIFETIMES ADULT DAY HEALTH CARE
NPI 1164435111
Skilled Nursing Facility in Fairport, NY

Active since August 14, 2006
2/5
Overall Rating
4646 NINE MILE POINT RD, FAIRPORT, NY 14450(585) 388-2303 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lifetimes Adult Day Health Care NPPES

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

LIFETIMES ADULT DAY HEALTH CARE (NPI 1164435111) is a healthcare organization registered as a skilled nursing facility in Fairport, New York and active in the NPI registry since August 2006. The organization lists Thomas H. Poelma, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1164435111
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFAIRPORT BAPTIST HOMES
Location Address4646 NINE MILE POINT RDFairport, NY 14450-1163
Mailing Address4646 Nine Mile Point RdFairport, NY 14450-1163
Organization SubpartNo
Authorized OfficialThomas H. PoelmaPresident/ceo · (585) 388-2300
Enumeration DateAugust 14, 2006
Last NPPES UpdateOctober 23, 2014
✔ NPI 1164435111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in NY · 2725300N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
4646 NINE MILE POINT RD, Fairport, NY 14450

Other Names 1

Other NameLifetimes Adult Day Health Care

Other Identifiers 7

Other105934FQPreferred Care 'b'
Medicare ID-Type Unspecified335576Medicare Provider Number
Medicaid01703382NY
Other105934CIPreferred Care
Medicare ID-Type Unspecified81090AMedicare Professional Cla
Medicaid00395657NY
OtherP015005960Excellus Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifetimes Adult Day Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040921001102Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifetimes Adult Day Health Care, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Internal Medicine4
Nurse Practitioner4
Geriatric Medicine2

Clinicians, nearest first (10)

Geriatric Medicine
NPI 1598718314
1000 SOUTH AVE BOX 58
Rochester, NY 14620
(585) 341-0255
✔ PECOS✔ Accepts Medicare8.6 mi
Internal Medicine
NPI 1205871084
435 EAST HENRIETTA RD
Rochester, NY 14620
(585) 760-5466
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1477525749
435 EAST HENRIETTA RD
Rochester, NY 14620
(585) 760-5466
✔ PECOS✔ Accepts Medicare9.0 mi
Geriatric Medicine
NPI 1184646952
435 EAST HENRIETTA RD
Rochester, NY 14620
(585) 760-5466
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1629251921
435 EAST HENRIETTA RD MONROE COMMUNITY HOSPITAL
Rochester, NY 14620
(585) 760-5455
✔ PECOS✔ Accepts Medicare9.0 mi
Internal Medicine
NPI 1912942574
435 EAST HENRIETTA RD
Rochester, NY 14620
(585) 760-5466
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1760448757
435 E HENRIETTA RD
Rochester, NY 14620
(585) 760-5455
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1972687721
435 E HENRIETTA RD
Rochester, NY 14620
(585) 760-5466
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1710086442
3669 COUNTRYSIDE LN
Marion, NY 14505
(315) 926-7733
✔ PECOS12 mi
Internal Medicine
NPI 1821033481
889 ALLWOOD RD
Clifton, NJ 07012
(862) 662-2221
✔ PECOS✔ Accepts Medicare229 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fairport Baptist Homes (CMS certification number 335576), from CMS Care Compare.

Fairport Baptist Homes

Nursing home · Fairport, NY
2/5 CMS Overall Rating
OwnershipNon profit - Church related
CMS Certification Number335576
Certified Beds196 beds101 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1977
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
35.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.17 · LPN 1.47 · RN 0.4
5.04 hrs per resident per day
Weekend Nurse Staffing
4.69 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.1%
Registered Nurse Turnover
58.3%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
1
Fines
1 totaling $7,900.75
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairport Baptist Homes's NPI number?

The NPI number for Fairport Baptist Homes is 1164435111. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is also known as Lifetimes Adult Day Health Care.

Where is Fairport Baptist Homes located?

Fairport Baptist Homes is located at 4646 Nine Mile Point Rd, Fairport, NY 14450. The listed phone number is (585) 388-2303.

What is Fairport Baptist Homes's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Fairport Baptist Homes enrolled in Medicare?

Yes. Fairport Baptist Homes is registered in the Medicare PECOS enrollment system.

When is Fairport Baptist Homes's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fairport Baptist Homes?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Fairport Baptist Homes. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (4), Nurse Practitioner (4) and Geriatric Medicine (2). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Fairport Baptist Homes a Medicare-certified nursing home?

Yes. Fairport Baptist Homes is a Medicare-certified nursing home with 196 certified beds.

What quality rating does Fairport Baptist Homes have?

CMS rates Fairport Baptist Homes 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Fairport Baptist Homes was last updated on October 23, 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.