Genesis Eldercare Rehabilitation Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

GENESIS ELDERCARE REHABILITATION SERVICES LLC

Practice address

19303 N New Tradition Rd
C/O the Heritage Tradition
Sun City West, AZ 85375-3806

Phone

(623) 547-5088

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Louise Ann Soika

Title

SVP

Phone

(610) 925-4088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1396156964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "address_2": "C/O AMY NUNEMAKER",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 N NEW TRADITION RD",
            "address_2": "C/O THE HERITAGE TRADITION",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753806",
            "telephone_number": "623-547-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "SOIKA",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "610-925-4088"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Gardner, DPT
• Roberta Marie Garza
• Jon Edwin Gelsey, M.D.
• General Medical Supply Inc.
• Genereal Medical Supply
• Zaccary George Ekdahl, DPT
• Joyce George, MD
• Kelsi Leigh Giacalone, PHARMD
• Mitchell James Giangobbe, M.D.
• Chad Gregory Gleason, PA-C

• Rehabilitation Clinic/Center in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.