NPIMap

Organization Active NPI

Genesis Healthcare Corporation

  • Skilled Nursing Facility
  • Canton, OH
National Provider Identifier
1407060247
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OTA 3558 Issued in OH
Legal business name
GENESIS HEALTHCARE CORPORATION
Practice address
800 Market Ave N
Canton, OH 44702-1083
Phone
(330) 430-2119
NPI assigned
May 10, 2007
Last updated
Jul 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Mr. Stephen Michael SextonNPI 1750584041
Title
Cota/L
Phone
(330) 412-4863

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 OTA 3558 OH Primary

Addresses

Primary practice location

800 Market Ave N
Canton, OH 44702-1083

Mailing address

5932 Shakertown Dr NW
Apt. J-9
Canton, OH 44718-9300
Phone (330) 412-4863

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, 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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1407060247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 SHAKERTOWN DR NW",
            "address_2": "APT. J-9",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447189300",
            "telephone_number": "330-412-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021083",
            "telephone_number": "330-430-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "330-412-4863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "OTA 3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.