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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Park Ridge Living Center

Adult Day Care Clinic/Center in Rochester, NY · enumerated 2007 · authorized official Susan Bourne, Vp Home and Community Based Service.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023166378

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Registry record

Entity type Organization (Type 2)
Legal business name Park Ridge Living Center
Other name <Unavail>
Parent organization Park Ridge Living Center
Practice address 2260 Lake Ave, Rochester, NY, 14612
Phone (585) 254-8139
Enumeration date Jan 5, 2007
Last updated in NPPES Jan 14, 2015

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Susan Bourne
Title Vp Home and Community Based Service
Phone (585) 368-6454

Other identifiers

Identifier Type State Issuer
02728045 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Park Ridge Living Center?
The NPI for Park Ridge Living Center is 1023166378, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Park Ridge Living Center?
NPPES lists Susan Bourne (Vp Home and Community Based Service) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-14.