NPIMap

Organization Active NPI

Genesis Rehabilitation Services

  • Skilled Nursing Facility
  • Lakeland, FL
National Provider Identifier
1356464101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OT4846 Issued in FL
Legal business name
GENESIS REHABILITATION SERVICES
Practice address
4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113
Phone
(863) 607-5948
Fax
(863) 644-4202
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Sue Ochs, MS CCC SLP
Title
Rehab Program Manager
Phone
(863) 607-5948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OT4846 FL Primary

Addresses

Primary practice location

4240 Lakeland Highlands Rd
Lakeland, FL 33813-3113

Mailing address

2719 Deerbrook Dr
Lakeland, FL 33811-4031
Phone (863) 709-0547

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab Serv209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356464101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 DEERBROOK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338114031",
            "telephone_number": "863-709-0547",
            "fax_number": "863-709-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LAKELAND HIGHLANDS RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133113",
            "telephone_number": "863-607-5948",
            "fax_number": "863-644-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCHS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "REHAB PROGRAM MANAGER",
        "authorized_official_telephone_number": "863-607-5948",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OT4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.