Genesis Eldercare Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2008019516 Issued in MO

Legal business name

GENESIS ELDERCARE REHAB SERVICES

Practice address

250 New Florissant Road
Florissant, MO 63031

Phone

(314) 830-7950

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Shanta Caldwell, COTANPI 1922310630

Title

Ota

Phone

(314) 761-8823

Specialties & licenses 1

Addresses

Tax ID family

Genesis Eldercare Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Rehab.

  • Skilled Nursing Facility
  • St. Louis, MO
  • NPI 1346473873
  NPD tax ID

Practitioners 1

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

• Shanta L Caldwell, COTA

  • Occupational Therapy Assistant
  • Florissant, MO
  • NPI 1922310630
  NPD (past) Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1104059559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 LOUISIANA AVE",
            "address_2": "APT1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041708",
            "telephone_number": "314-761-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEW FLORISSANT ROAD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "63031",
            "telephone_number": "314-830-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "SHANTA",
        "authorized_official_title_or_position": "OTA",
        "authorized_official_telephone_number": "314-761-8823",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "2008019516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Marie Gates
• Gateway Direct Care LLC
• Gateway Direct Primary Care JV LLC
• Gateway Orthodontics
• Genesis Consumer Directed Services, LLC
• Genesis Rehab
• John Edgar Gentles Sr., DDS
• Genuine Care, LLC
• Genuine Health Care LLP
• Shirley Ann George, RN

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.