Genesis Healthcare Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000173 Issued in CA

Legal business name

GENESIS HEALTHCARE CENTER, INC

Practice address

1201 Walnut Ave
Long Beach, CA 90813-3822

Phone

(562) 591-7621

Fax

(562) 591-3292

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randy L Henry

Title

President

Phone

(818) 888-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• genesis healthcare center Doing business as

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1083935746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WALNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133822",
            "telephone_number": "562-591-7621",
            "fax_number": "562-591-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WALNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133822",
            "telephone_number": "562-591-7621",
            "fax_number": "562-591-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-888-1616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "940000173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "genesis healthcare center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Gemino
• Andreea Gendreau, LMFT
• Mary Salwa Safwat Gendy, M.D.
• Safwat S Gendy
• General Surgeons of Long Beach
• Melissa Genisauski, LCSW
• Casey Genna, DC
• Shannon Genovese
• Ethan Gentile
• Richard D Gentile, DDS

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.