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Fairport Baptist Homes

Skilled Nursing Facility in Fairport, NY · enumerated 2006 · authorized official Thomas Poelma, President/Ceo.

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

National Provider Identifier

1164435111

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Registry record

Entity type Organization (Type 2)
Legal business name Fairport Baptist Homes
Other name <Unavail>
Practice address 4646 Nine Mile Point Rd, Fairport, NY, 14450
Enumeration date Aug 14, 2006
Last updated in NPPES Oct 23, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 2725300N (NY) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Thomas Poelma
Title President/Ceo

Other identifiers

Identifier Type State Issuer
105934CI Other - PREFERRED CARE
105934FQ Other - PREFERRED CARE 'B'
P015005960 Other - EXCELLUS BC/BS
00395657 Medicaid NY -
01703382 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

Who is the authorized official for Fairport Baptist Homes?
NPPES lists Thomas Poelma (President/Ceo) as the authorized official for this organization.
What is the NPI number for Fairport Baptist Homes?
The NPI for Fairport Baptist Homes is 1164435111, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-23.