Genesis Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5202006033 Issued in MI

Legal business name

GENESIS REHAB SERVICES

Practice address

34330 Van Born Rd
Wayne, MI 48184-2472

Phone

(734) 721-9108

Fax

(734) 729-5782

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Niketa Dhaval Patel, C.O.T.A.

Title

Program Manager / Cota

Phone

(734) 306-3054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1497180061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34330 VAN BORN RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842472",
            "telephone_number": "734-721-9108",
            "fax_number": "734-729-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34330 VAN BORN RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842472",
            "telephone_number": "734-721-9108",
            "fax_number": "734-729-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKETA",
        "authorized_official_middle_name": "DHAVAL",
        "authorized_official_title_or_position": "PROGRAM MANAGER / COTA",
        "authorized_official_telephone_number": "734-306-3054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.O.T.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "5202006033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Joseph Gardner, MD
• Cynthia Garfield
• Sandy Garza I
• Willie Andrew Gaston
• Maureen Lynn Gay
• Barbra Ruth Gentry-Pugh
• Nancy Marie George, PHD,FNP-BC
• Dorothy Gier
• Sharee L Gilreath
• Anthony Joseph Giuffre Jr., LMSW, ICAADC

• Skilled Nursing Facility in Wayne, MI
• Providers in Wayne, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.