Genesis Rehabilitation Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GENESIS REHABILITATION CENTER, LLC

Practice address

3440 Wilshire Blvd Ste 909
Los Angeles, CA 90010-2101

Phone

(213) 739-9982

Fax

(213) 739-9983

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Mr. George Moreno, CADC II, CCDS

Title

Program Director

Phone

(213) 739-9982

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Chima A Anyanwu, JURIS DOCTORATE

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
  • NPI 1194233379
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1023526209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD STE 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102101",
            "telephone_number": "213-739-9982",
            "fax_number": "213-739-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD STE 909",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102101",
            "telephone_number": "213-739-9982",
            "fax_number": "213-739-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "213-739-9982",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC II, CCDS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190039AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Anesthesia Services Inc
• Genesis Health Services
• Genesis Health Services,Inc.
• Genesis Healthcare Products of Los Angeles County Inc.
• Genesis Psychology Group, Inc.
• Geneva Medical Group, Inc.
• Jiaxin Geng
• Xianzhang Geng, MD
• Yipeng Geng
• Maria Avila Gengenbacher, PSY.D.

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.