GRANDVILLE SENIOR LIVING COMMUNITY
NPI 1497916043
Assisted Living Facility in Rochester, NY

Active since June 17, 2008CLIA 33D2191369 · Waiver
555 MAIDEN LN, ROCHESTER, NY 14616(585) 621-6160 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grandville Senior Living Community NPPES

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

GRANDVILLE SENIOR LIVING COMMUNITY (NPI 1497916043) is a healthcare organization registered as an assisted living facility in Rochester, New York and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Panaggio, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497916043
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRANDVILLE SENIOR LIVING COMMUNITY
Location Address555 MAIDEN LNRochester, NY 14616-4148
Mailing Address555 Maiden LnRochester, NY 14616-4148
Organization SubpartNo
Authorized OfficialMichael PanaggioAdministrator · (585) 381-0680
Enumeration DateJune 17, 2008
NPI 1497916043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
555 MAIDEN LN, Rochester, NY 14616

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 33D2191369

Grande' Vie Senior Living Community · Penfield, NY
Active · expires Mar 26, 2027
CLIA Number33D2191369
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 26, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Sarah M. Howd
Laboratory Phone(585) 381-0680
Laboratory LocationGrande' Vie Senior Living Community2140 Five Mile Line Rd, Penfield, NY 14526
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grandville Senior Living Community's NPI number?

The NPI number for Grandville Senior Living Community is 1497916043. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Grandville Senior Living Community located?

Grandville Senior Living Community is located at 555 Maiden Ln, Rochester, NY 14616. The listed phone number is (585) 621-6160.

What is Grandville Senior Living Community's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Grandville Senior Living Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2191369) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grandville Senior Living Community was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.