Organization Active NPI

Genesis Health Care, Inc.

  • Assisted Living Facility
  • Claremont, CA
National Provider Identifier
1114229069
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
366402896 Issued in CA
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

Updated by the provider on Aug 6, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.