Genesis Rehab Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

TE1000270 Issued in PA

Legal business name

GENESIS REHAB SERVICES

Practice address

14 Kiehner Rd
Schuylkill Haven, PA 17972-8999

Phone

(570) 739-4526

NPI assigned

Mar 25, 2011

Last updated

Mar 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darcie Nan Roeder

Title

Phy. Therapy Assistant

Phone

(570) 621-7432

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SCHUYLKILL MEDICAL CENTER Other name

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1174822472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KIEHNER RD",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179728999",
            "telephone_number": "570-739-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KIEHNER RD",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179728999",
            "telephone_number": "570-739-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "DARCIE",
        "authorized_official_middle_name": "NAN",
        "authorized_official_title_or_position": "PHY. THERAPY ASSISTANT",
        "authorized_official_telephone_number": "570-621-7432",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "TE1000270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT ASSISTANT PENNSYLVANIA STATE LICENSE",
            "identifier": "TE1000270",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHUYLKILL MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carroll S. Freestone, COTA
• Edward J Gaydos, DPM
• Jude M Gaydos, DMD
• Teresa Ann Gaydos, D.M.D.
• Genesis Healthcare
• George L. Roberts
• Carol Ann Giacovelli, RD LDN
• Glad RX LLC (Glad Rx)
• Michael Francis Grigalonis, ATC
• Chantel Guistwite

• Health Maintenance Organization in Schuylkill Haven, PA
• Providers in Schuylkill Haven, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.