NPIMap

Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Duluth, MN
National Provider Identifier
1104165711
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
200447 Issued in MN
Legal business name
GENESIS REHAB SERVICES
Practice address
2501 Rice Lake Rd
Duluth, MN 55811-4819
Phone
(218) 625-6400
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Ms. Kristine Ann Michaelson, COTA/LNPI 1447695002
Title
Certifeid Occupational Therapy Assi
Phone
(218) 729-1656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 200447 MN Primary

Addresses

Primary practice location

2501 Rice Lake Rd
Duluth, MN 55811-4819

Mailing address

2501 Rice Lake Rd
Duluth, MN 55811
Phone (218) 625-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1104165711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RICE LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55811",
            "telephone_number": "218-625-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RICE LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114819",
            "telephone_number": "218-625-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFEID OCCUPATIONAL THERAPY ASSI",
        "authorized_official_telephone_number": "218-729-1656",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "200447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.