NPIMap

Organization Active NPI

Enesis Rehab Services

  • Skilled Nursing Facility
  • Lake Worth, FL
National Provider Identifier
1245571769
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OT12746 Issued in FL
Legal business name
ENESIS REHAB SERVICES
Practice address
10155 Foal Rd
Lake Worth, FL 33449-5446
Phone
(201) 323-9834
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mary Wrinn, PT
Title
PT
Phone
(800) 804-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OT12746 FL Primary

Addresses

Primary practice location

10155 Foal Rd
Lake Worth, FL 33449-5446

Mailing address

10155 Foal Rd
Lake Worth, FL 33449-5446

National Provider Directory

National Provider Directory
Tax ID family
Genesis Eldercare Rehab LLC209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1245571769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 FOAL RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 FOAL RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495446",
            "telephone_number": "201-323-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "WRINN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "18008044404",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OT12746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.