Active NPI
Genesis Health Care, Inc.
- Assisted Living Facility
- Claremont, CA
National Provider Identifier
1114229069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 366402896
- Legal business name
- GENESIS HEALTH CARE, INC.
- Practice address
- 2058 N Mills Ave # 616
Claremont, CA 91711-2812 - Phone
- (909) 262-9802
- Fax
- (909) 920-6827
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gerry Ann Markie, M.S. R.N.
- Title
- President
- Phone
- (909) 262-9802
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 366402896 | CA | Primary |
| Assisted Living Facility | 310400000X | 197803648 | CA | |
| Assisted Living Facility | 310400000X | 198204544 | CA | |
| Assisted Living Facility | 310400000X | 197607290 | CA |
Addresses
Primary practice location
2058 N Mills Ave # 616
Claremont, CA 91711-2812
Mailing address
2058 N Mills Ave # 616
Claremont, CA 91711-2812
Phone (909) 262-9802
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1114229069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 N MILLS AVE # 616",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112812",
"telephone_number": "909-262-9802",
"fax_number": "909-920-6827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2058 N MILLS AVE # 616",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917112812",
"telephone_number": "909-262-9802",
"fax_number": "909-920-6827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "MARKIE",
"authorized_official_first_name": "GERRY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-262-9802",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. R.N."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "366402896",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "197803648",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "198204544",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "197607290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.