Genesis Rehab Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

SL009309 Issued in PA

Legal business name

GENESIS REHAB SERVICES

Practice address

500 Brouwers Dr
Latrobe, PA 15650-2500

Phone

(724) 537-6149

Fax

(724) 537-6156

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By 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

Marilyn N Ciavarra, PT

Title

PT/Program Manager

Phone

(724) 537-6149

Specialties & licenses 1

Addresses

Tax ID family

Genesis Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Rehab

  • Physical Therapy Clinic/Center
  • Mechanicsburg, PA
  • NPI 1558764092
  NPD tax ID

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1467774182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WAYNE AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443152",
            "telephone_number": "724-961-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROUWERS DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502500",
            "telephone_number": "724-537-6149",
            "fax_number": "724-537-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "CIAVARRA",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PT/PROGRAM MANAGER",
        "authorized_official_telephone_number": "724-537-6149",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "SL009309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Gauna, MD
• Maria Isabel Banas Gauna, M.D.
• George M Gavin, MD
• Aleksandr V Gavrilov, RD, LDN
• Norman P Gebrosky, MD
• Marie Renee George Williams, D.O.
• Mallory Nicole Gergely
• Giant Eagle Inc (Giant Eagle Pharmacy 0082)
• Cynthia C Gladora, CRNA
• Scott Ivan Gobin

• Assisted Living Facility in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.