NPIMap

Organization Active NPI

Genesis Rehabilitation Services

  • Assisted Living Facility
  • Chicago, IL
National Provider Identifier
1346579398
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
070015702 Issued in IL
Legal business name
GENESIS REHABILITATION SERVICES
Practice address
7120 N Sheridan Rd
# 201
Chicago, IL 60626-2900
Phone
(773) 679-4006
NPI assigned
Dec 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Tinna Marie R. Bolongan
Title
Physical Therapist
Phone
(773) 679-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 070015702 IL Primary

Addresses

Primary practice location

7120 N Sheridan Rd
# 201
Chicago, IL 60626-2900

Mailing address

7120 N Sheridan Rd
# 201
Chicago, IL 60626-2900
Phone (773) 679-4006

National Provider Directory

National Provider Directory
Tax ID family
Genesis Healthcare23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1346579398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N SHERIDAN RD",
            "address_2": "# 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262900",
            "telephone_number": "773-679-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 N SHERIDAN RD",
            "address_2": "# 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262900",
            "telephone_number": "773-679-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "BOLONGAN",
        "authorized_official_first_name": "TINNA MARIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-679-4006"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "070015702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.