Active NPI
Genesus Rehab Services
- Skilled Nursing Facility
- Philadelphia, PA
National Provider Identifier
1467856641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- TE009839
- Legal business name
- GENESUS REHAB SERVICES
- Practice address
- 1104 Welsh Rd
Philadelphia, PA 19115-3730 - Phone
- (215) 676-9191
- NPI assigned
- Oct 16, 2014
- Last updated
- Oct 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tracy Mitchel
- Title
- Delegated Offical
- Phone
- (610) 925-4477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TE009839 | PA | Primary |
Addresses
Primary practice location
1104 Welsh Rd
Philadelphia, PA 19115-3730
Mailing address
1104 Welsh Rd
Philadelphia, PA 19115-3730
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Rehabilitation
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413417600000",
"number": "1467856641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 WELSH RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 WELSH RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191153730",
"telephone_number": "215-676-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESUS REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-16",
"last_updated": "2014-10-16",
"status": "A",
"authorized_official_last_name": "MITCHEL",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "DELEGATED OFFICAL",
"authorized_official_telephone_number": "610-925-4477",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "TE009839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.