NPIMap

Organization Active NPI

Genesis Rehabilitation Services

  • Assisted Living Facility
  • Wyncote, PA
National Provider Identifier
1114206406
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
OC002222L Issued in PA
Legal business name
GENESIS REHABILITATION SERVICES
Practice address
1245 Church Rd
Wyncote, PA 19095
Phone
(215) 884-9990
Fax
(215) 884-5575
NPI assigned
Aug 4, 2011
Last updated
Aug 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Ms. Deborah Pronzato
Title
Area Director
Phone
(215) 658-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OC002222L PA Primary

Addresses

Primary practice location

1245 Church Rd
Wyncote, PA 19095

Mailing address

1245 Church Rd
Wyncote, PA 19095-1800
Phone (215) 884-9990

National Provider Directory

National Provider Directory
Tax ID family
1245 Church Road Operations LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1114206406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CHURCH RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951800",
            "telephone_number": "215-884-9990",
            "fax_number": "215-884-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHURCH RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "19095",
            "telephone_number": "215-884-9990",
            "fax_number": "215-884-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "PRONZATO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "215-658-0214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "OC002222L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

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