NPIMap

Organization Active NPI

Genesis Rehab Services

  • Assisted Living Facility
  • Virginia Beach, VA
National Provider Identifier
1396989323
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0119004820 Issued in VA
Legal business name
GENESIS REHAB SERVICES
Practice address
809 Addison CT
Virginia Beach, VA 23462-6904
Phone
(757) 463-0670
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mrs. Charise Lillian Wilson-Hammond, OTR/L
Title
Otr/L
Phone
(757) 463-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0119004820 VA Primary

Addresses

Primary practice location

809 Addison CT
Virginia Beach, VA 23462-6904

Mailing address

809 Addison CT
Virginia Beach, VA 23462-6904
Phone (757) 463-0670

Other identifiers 1

IdentifierTypeStateIssuer
0119004820OtherVAVIRGINIA STATE OCCUPATIONAL THERAPY LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1396989323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ADDISON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626904",
            "telephone_number": "757-463-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ADDISON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626904",
            "telephone_number": "757-463-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "WILSON-HAMMOND",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "757-463-0670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "0119004820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE OCCUPATIONAL THERAPY LICENSE",
            "identifier": "0119004820",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.