Genesis Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTA 11900 Issued in FL

Legal business name

GENESIS REHAB

Practice address

1111 Drury LN
Englewood, FL 34224-4545

Phone

(941) 474-9371

NPI assigned

Jan 17, 2012

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tara Cameron

Title

Cota

Phone

(941) 421-6956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1417228875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DRURY LN",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342244545",
            "telephone_number": "941-474-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DRURY LN",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342244545",
            "telephone_number": "941-474-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "941-421-6956",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OTA 11900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Campbell Gaunt, OD
• GCSC Anesthesia LLC
• Karuna H Geletka, RPT
• General Apothecaries, Inc (Englewood Pharmacy)
• General Apothecaries, Inc.
• Constantine Alexander Georgiadis, D.O.
• Silvia Barsoum Gerges, PHARMD
• Martin Sean Gildea, DC
• Glades Counseling Services (Glades Counseling)
• Glasses RX, LLC

• Skilled Nursing Facility in Englewood, FL
• Providers in Englewood, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.