NPIMap

Organization Active NPI

Genesis Eldercare Rehab Services

  • Assisted Living Facility
  • Baltimore, MD
National Provider Identifier
1255621785
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
235Z00000X Issued in MD
Legal business name
GENESIS ELDERCARE REHAB SERVICES
Practice address
3855 Greenspring Ave
Baltimore, MD 21211-3300
Phone
(410) 225-9160
NPI assigned
Apr 18, 2011
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Ms. Kelly Yvonne Whitley, M.S.
Title
Speech Pathologist
Phone
(410) 908-2604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 235Z00000X MD Primary

Addresses

Primary practice location

3855 Greenspring Ave
Baltimore, MD 21211-3300

Mailing address

101 W Conway St
Baltimore, MD 21201-2422
Phone (410) 908-2604

National Provider Directory

National Provider Directory
Tax ID family
Genesis Eldercare Rehab Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1255621785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CONWAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012422",
            "telephone_number": "410-908-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 GREENSPRING AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113300",
            "telephone_number": "410-225-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "410-908-2604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "235Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.