Genesis Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

500927 Issued in WI

Legal business name

GENESIS HEALTHCARE

Practice address

3025 33Rd St S Apt 3
La Crosse, WI 54601-7777

Phone

(507) 313-8008

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Marie Gilbertson, COTA

Title

Certified Occupational Therapy Asst

Phone

(507) 313-8008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine View Care Center Other name

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1104251446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 33RD ST S APT 3",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017777",
            "telephone_number": "507-313-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 33RD ST S APT 3",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017777",
            "telephone_number": "507-313-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASST",
        "authorized_official_telephone_number": "507-313-8008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "500927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500927",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine View Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Ann Gearing, BSW
• James R Gebhart, D.O.
• Amelia J Geier, PA
• Melinda Marie Gelder, BSW
• Alecia Gende, D.O.
• Genoa Healthcare LLC
• Erin Marie Gensch, MD
• Sydney Elise Gentilli
• Kate Taylor Gentry, PA-S
• Rochelle M Gentry, SOCIAL WORKER

• Skilled Nursing Facility in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.