Active NPI
Genesis Eldercare Rehabilitation Services LLC
Doing business as Genesis Rehabilitation Services
- Rehabilitation Clinic/Center
- Fort Collins, CO
National Provider Identifier
1346913936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- GENESIS ELDERCARE REHABILITATION SERVICES LLC
- Doing business as
- Genesis Rehabilitation Services
- Practice address
- 3509 Lochwood Dr
Fort Collins, CO 80525-5782 - Phone
- (970) 478-6578
- NPI assigned
- Jul 29, 2021
- Last updated
- Jul 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louise Ann Soika
- Title
- Chief Strategy & Admin Officer
- Phone
- (610) 925-4088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
3509 Lochwood Dr
Fort Collins, CO 80525-5782
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (800) 728-8808
Other names 1
- Genesis Rehabilitation Services
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Eldercare Rehab LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Skilled Nursing Facility
- Parker, CO
- NPI 1689978918
-
- Rehabilitation Clinic/Center
- Denver, CO
- NPI 1962884346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1346913936",
"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",
"telephone_number": "800-728-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 LOCHWOOD DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255782",
"telephone_number": "970-478-6578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "SOIKA",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHIEF STRATEGY & ADMIN OFFICER",
"authorized_official_telephone_number": "610-925-4088"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Rehabilitation Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.