NPIMap

Organization Active NPI

Genesis Rehabilitation Services, LLC

  • Case Management Agency
  • San Antonio, TX
National Provider Identifier
1356637201
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2644951 Issued in TX
Legal business name
GENESIS REHABILITATION SERVICES, LLC
Practice address
21810 Burbank HL
San Antonio, TX 78256-1677
Phone
(210) 698-1836
Fax
(210) 698-1836
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Charlotte Davis, RN, BSN, CARTNPI 1881980712
Title
Ceo/Cno
Phone
(210) 698-1836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2644951 TX Primary
Developmentally Disabled Services Day Training Agency 251C00000X 2644951 TX
Home Health Agency 251E00000X 2644951 TX
Nursing Care Agency 251J00000X 2644951 TX
Community/Behavioral Health Agency 251S00000X 2644951 TX
In Home Supportive Care Agency 253Z00000X 2644951 TX

Addresses

Primary practice location

21810 Burbank HL
San Antonio, TX 78256-1677

Mailing address

21810 Burbank HL
San Antonio, TX 78256-1677
Phone (210) 698-1836

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1356637201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 BURBANK HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561677",
            "telephone_number": "210-698-1836",
            "fax_number": "210-698-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 BURBANK HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561677",
            "telephone_number": "210-698-1836",
            "fax_number": "210-698-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO/CNO",
        "authorized_official_telephone_number": "210-698-1836",
        "authorized_official_credential": "RN, BSN, CART"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "2644951",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "2644951",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "2644951",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "2644951",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "2644951",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "2644951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.