Geri Care Assisted Living and Rehabilitation Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

421 Issued in FL

Legal business name

GERI CARE ASSISTED LIVING AND REHABILITATION CENTER

Practice address

180 Lightkeepers Dr
Port St Joe, FL 32456-6173

Phone

(850) 647-2600

Fax

(850) 647-3624

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Chauncey Belser, PT

Title

Coo

Phone

(850) 674-7639

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beacon Hill Therapy and Wellness Doing business as

Locations

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1124216239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17352 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-7639",
            "fax_number": "850-674-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LIGHTKEEPERS DR",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324566173",
            "telephone_number": "850-647-2600",
            "fax_number": "850-647-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI CARE ASSISTED LIVING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "BELSER",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-674-7639",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890143100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Hill Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Tracy Fishero-Fazio, BCBA
• Florida Department of Health
• Rachel Ashton Forrest, OTR/L
• Patricia A Fults, MDH
• Iris Levon Gathers, CERTIFIED HAIR LOSS
• Zoe Gerlach
• Don J. Gibson, MD
• Connie Micheal Greenwood, RN
• John M. Griggs, DNP, FNP-C, CDCES
• Beverly Annette Grinslade, HYGIENIST

• Assisted Living Facility in Port St Joe, FL
• Providers in Port St Joe, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.