Provider Demographics
NPI:1033106489
Name:CPR ASSOCIATES LLC.
Entity type:Organization
Organization Name:CPR ASSOCIATES LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:A
Authorized Official - Last Name:HULPIAU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:585-377-4000
Mailing Address - Street 1:100 SAINT CAMILLUS WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-8500
Mailing Address - Country:US
Mailing Address - Phone:585-377-4000
Mailing Address - Fax:585-377-0013
Practice Address - Street 1:100 SAINT CAMILLUS WAY
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-8500
Practice Address - Country:US
Practice Address - Phone:585-377-4000
Practice Address - Fax:585-377-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2725301N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01020617Medicaid
NY335532Medicare ID - Type UnspecifiedPROVIDER #