Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

TEI000175 Issued in PA

Legal business name

GENESIS

Practice address

124 Schuylkill Ave
Shenandoah, PA 17976-1337

Phone

(570) 462-0345

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Eileen Beacher I, PTA

Title

Physical Therapist Assistant

Phone

(570) 624-3228

Specialties & licenses 1

Addresses

Other names 1

• Genesis Former legal business name

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1386872885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SCHUYLKILL AVE",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761337",
            "telephone_number": "570-462-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SCHUYLKILL AVE",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761337",
            "telephone_number": "570-462-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BEACHER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "570-624-3228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "TEI000175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Edward J. Kolonsky DMD PC
• Eric E. Petterson P.C.
• Angeline Falcon
• Tammy Lee Falls, SLP
• Melissa K Farley
• Grose Chiropractic, P.C.
• Kara Lin Heitzman
• Jennifer Hoats, M.S., CCC-SLP, CBIS
• Ryan Horne, OTR
• James Wei-Tzer Hu MD PC (James W. T. Hu MD)

• Skilled Nursing Facility in Shenandoah, PA
• Providers in Shenandoah, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.