Active NPI
Genesis Rehab Services
- Skilled Nursing Facility
- Kennett Square, PA
National Provider Identifier
1063759371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SA11072
- Legal business name
- GENESIS REHAB SERVICES
- Practice address
- 101 E State St
Kennett Square, PA 19348-3109 - Phone
- (610) 925-1185
- NPI assigned
- Jan 7, 2013
- Last updated
- Jan 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Rebecca Neubauer, M.S. CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (850) 814-3183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SA11072 | FL | Primary |
Addresses
Primary practice location
101 E State St
Kennett Square, PA 19348-3109
Mailing address
101 E State St
Kennett Square, PA 19348-3109
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357516800000",
"number": "1063759371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-1185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A",
"authorized_official_last_name": "NEUBAUER",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "850-814-3183",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SA11072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.