NPIMap

Organization Active NPI

Genesis

  • Skilled Nursing Facility
  • Dunbar, WV
National Provider Identifier
1023362183
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
C1601 Issued in WV
Legal business name
GENESIS
Practice address
925 Park Dr
Dunbar, WV 25064-2624
Phone
(304) 989-7074
NPI assigned
Oct 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deanna Kelly TarverNPI 1902145154
Title
Cota
Phone
(304) 989-7074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X C1601 WV Primary

Addresses

Primary practice location

925 Park Dr
Dunbar, WV 25064-2624

Mailing address

925 Park Dr
Dunbar, WV 25064-2624
Phone (304) 989-7074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1023362183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 PARK DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642624",
            "telephone_number": "304-989-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 PARK DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250642624",
            "telephone_number": "304-989-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "304-989-7074"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "C1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.