NPIMap

Organization Active NPI

Genesis Eldercare Rehab SVCS

  • Skilled Nursing Facility
  • Naugatuck, CT
National Provider Identifier
1194030577
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000186 Issued in CT
Legal business name
GENESIS ELDERCARE REHAB SVCS
Practice address
4 Hazel Ave
Naugatuck, CT 06770-4706
Phone
(203) 723-1456
Fax
(203) 720-0242
NPI assigned
Aug 10, 2010
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Ms. Valerie Jeanne Fogel, LICENSE
Title
Physical Therapist Assistand
Phone
(203) 720-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000186 CT Primary

Addresses

Primary practice location

4 Hazel Ave
Naugatuck, CT 06770-4706

Mailing address

101 E State St
Kennett Square, PA 19348-3109

National Provider Directory

National Provider Directory
Tax ID family
Kimberly Hall South209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

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": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1194030577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAZEL AVE",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704706",
            "telephone_number": "203-723-1456",
            "fax_number": "203-720-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTAND",
        "authorized_official_telephone_number": "203-720-3411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "000186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.