NPIMap

Organization Active NPI

Genesis Rehabilitation

  • Skilled Nursing Facility
  • Great Falls, MT
National Provider Identifier
1124426283
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1533 Issued in MT
Legal business name
GENESIS REHABILITATION
Practice address
1130 17 TH Ave South
Great Falls, MT 59405
Phone
(406) 771-4543
Fax
(406) 771-4569
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Shelly Marie Davis, PTA
Title
Pta
Phone
(406) 771-4543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1533 MT Primary

Addresses

Primary practice location

1130 17 TH Ave South
Great Falls, MT 59405

Mailing address

508 50TH St S
Great Falls, MT 59405-3839
Phone (406) 217-7193

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1124426283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 50TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053839",
            "telephone_number": "406-217-7193",
            "fax_number": "406-771-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 17 TH AVE SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-771-4543",
            "fax_number": "406-771-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "406-771-4543",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.