Individual ProviderCarla Karen FaceyLicensed Practical NurseNursing Service ProvidersPractice Address100 Falstaff Road, Rochester, NY 14609-1884(585) 305-0801PECOS EnrollmentBased on the most recent information from CMS, provider Carla Karen Facey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1215297858Provider TypeIndividualFull NameFacey, Carla KarenCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date5/16/2012Last Updated6/19/2013Contact InformationPractice LocationPractice Address100 Falstaff Road, Rochester, NY 14609-1884Phone(585) 305-0801FaxUnlisted FaxMailing LocationMailing Address100 Falstaff Rd, Rochester, NY 14609-5543Phone(585) 305-0801FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense284396-1New YorkProvider IdentifiersIDDescriptionIssuerID1215297858DescriptionMedicaidIssuerUnlistedNew York