Organization Active NPI

Genesis Healthcare

  • Skilled Nursing Facility
  • Pittsburgh, PA
National Provider Identifier
1104138924
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
TE008531 Issued in PA
Legal business name
GENESIS HEALTHCARE
Practice address
1522 Brookline Blvd
Pittsburgh, PA 15226-1914
Phone
(412) 477-3172
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mr. Fredrick Andrew Faust, PTA
Title
Physical Therapist Assistant
Phone
(412) 477-3172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TE008531 PA Primary

Addresses

Primary practice location

1522 Brookline Blvd
Pittsburgh, PA 15226-1914

Mailing address

1522 Brookline Blvd
Pittsburgh, PA 15226-1914
Phone (412) 477-3172

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1104138924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 BROOKLINE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152261914",
            "telephone_number": "412-477-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 BROOKLINE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152261914",
            "telephone_number": "412-477-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "412-477-3172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "TE008531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.