Fairport Baptist Homes
Skilled Nursing Facility
4646 Nine Mile Point Rd, Fairport
New York, 14450-1163
585-388-2303 Fairport Baptist Homes is an authorized DME supplier for medicare equipments and products.
Fairport Baptist Homes is a Skilled Nursing Facility in Fairport, New York. It is located at 4646 Nine Mile Point Rd, Fairport and it's customer support contact number is 585-388-2303. The authorized person of Fairport Baptist Homes is Mr. Thomas H. Poelma who is President/ceo of the pharmacy and his contact number is 585-388-2300. Active license number of Fairport Baptist Homes is 2725300N for Skilled Nursing Facility in New York. Fairport Baptist Homes accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fairport Baptist Homes is (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.
Pharmacy Details:
Fairport Baptist Homes type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fairport Baptist Homes |
| Type: | Skilled Nursing Facility |
| Location: | 4646 Nine Mile Point Rd, Fairport, New York, 14450-1163 |
| Phone: | 585-388-2303 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Thomas H. Poelma |
| Position: | President/ceo |
| Contact Number: | 585-388-2300 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1164435111 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 23 Oct, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairport Baptist Homes are as mentioned below.
| Specialization | License Number | State | Status | |
| Skilled Nursing Facility | 2725300N | New York | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 105934CI | Other | | Preferred Care |
| 105934FQ | Other | | Preferred Care 'b' |
| P015005960 | Other | | Excellus Bc/bs |
| 00395657 | Medicaid | New York | |
| 01703382 | Medicaid | New York | |
Medicare Enrollment:
Fairport Baptist Homes is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8729050224 | O20040806000083 | Fairport Baptist Homes | PART A PROVIDER - SKILLED NURSING FACILITY |
| 8729050224 | O20040921001102 | Fairport Baptist Homes | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4646 Nine Mile Point Rd, Fairport, New York |
| Zip: | 14450-1163 |
| Phone Number: | -- |
Patients can reach Fairport Baptist Homes at
4646 Nine Mile Point Rd, Fairport, New York or can
call on customer care at 585-388-2303.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.