NPIMap

Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Winter Garden, FL
National Provider Identifier
1396119772
Registry record updated Nov 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
26144 Issued in FL
Legal business name
GENESIS REHAB SERVICES
Practice address
32 Regal PL
Winter Garden, FL 34787-2333
Phone
(828) 200-0490
NPI assigned
Nov 22, 2015
Last updated
Nov 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2015

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

Authorized official

Name
Gretchen Clark, OTNPI 1013288778
Title
Director of Rehab
Phone
(407) 877-2394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 26144 FL Primary

Addresses

Primary practice location

32 Regal PL
Winter Garden, FL 34787-2333

Mailing address

32 Regal PL
Winter Garden, FL 34787-2333
Phone (828) 200-0490

Other names 1

  • Genesis Healthcare Corporation Other name

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehabilitation23 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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1396119772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 REGAL PL",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872333",
            "telephone_number": "828-200-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 REGAL PL",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872333",
            "telephone_number": "828-200-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "407-877-2394",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "26144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Healthcare Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.