Provider Demographics
NPI:1134205255
Name:SIBLEY NURSING PERSONNEL SERVICE, INC.
Entity type:Organization
Organization Name:SIBLEY NURSING PERSONNEL SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-238-4366
Mailing Address - Street 1:3111 WINTON ROAD SOUTH
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2988
Mailing Address - Country:US
Mailing Address - Phone:585-325-3220
Mailing Address - Fax:585-325-3228
Practice Address - Street 1:3111 WINTON ROAD SOUTH
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2988
Practice Address - Country:US
Practice Address - Phone:585-325-3220
Practice Address - Fax:585-325-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1200L001251E00000X
NY1200L003251E00000X
NY1200L004251E00000X
NY1200L005251E00000X
NY1200L006251E00000X
NY1200L007251E00000X
NY1200L002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY149434OtherPREFERRED CARE FLU
NY000162635OtherEXCELLUS BCBS CNY & UTICA
NY00030747801OtherUNIVERA HEALTH PLAN - EXC
NYP011447472OtherEXCELLUS BCBS ROCHESTER
NYP0140F59SNOtherEXCELLUS BLUE CHOICE FLU