Provider Demographics
NPI:1740713072
Name:COBBS HILL MANOR
Entity type:Organization
Organization Name:COBBS HILL MANOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-851-8696
Mailing Address - Street 1:1175 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-1613
Mailing Address - Country:US
Mailing Address - Phone:585-851-8696
Mailing Address - Fax:585-730-5397
Practice Address - Street 1:1175 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-1613
Practice Address - Country:US
Practice Address - Phone:585-851-8696
Practice Address - Fax:585-730-5397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility