NPIMap

Organization Active NPI

Genesis Eldercare Rehabilitation Services LLC

  • Rehabilitation Clinic/Center
  • Kennesaw, GA
National Provider Identifier
1063930436
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GENESIS ELDERCARE REHABILITATION SERVICES LLC
Doing business as
GENESIS REHABILITATION SERVICES
Practice address
5235 Stilesboro Rd NW
Kennesaw, GA 30152-3968
Phone
(678) 540-5179
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Louise Ann Soika
Title
SVP
Phone
(610) 925-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5235 Stilesboro Rd NW
Kennesaw, GA 30152-3968

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4560

Other names 1

  • GENESIS REHABILITATION SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1063930436",
    "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",
            "telephone_number": "610-925-4560",
            "fax_number": "610-347-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 STILESBORO RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523968",
            "telephone_number": "678-540-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "SOIKA",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "610-925-4088"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESIS REHABILITATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GENESIS REHABILITATION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.