Genesis Rehab Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OTA10545 Issued in FL

Legal business name

GENESIS REHAB SERVICES

Practice address

7201 Greenboro Dr Apt 7
West Melbourne, FL 32904-1698

Phone

(321) 412-5716

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kelly R Chandler, COTA/L

Title

Cota/L

Phone

(321) 412-5716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1124273545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 GREENBORO DR APT 7",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041642",
            "telephone_number": "321-412-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GREENBORO DR APT 7",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041698",
            "telephone_number": "321-412-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "321-412-5716",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "OTA10545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Frauenhofer, RN
• Amanda Marie Gallo, MHS
• Amy Galloway, LCSW
• Patricia Gamblin
• Todd Jacob Gates, D.O.
• Genesis Rehabilitation Services
• Edward Andrew Gilbert, D.C.
• Apryl Gillette
• Nicole Gillham
• Apphia Glenn, RCSWI

• Home Health Agency in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.