Genesis Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GENESIS REHABILITATION

Practice address

3800 Shamrock Dr
Charlotte, NC 28215-3220

Phone

(704) 532-7000

NPI assigned

Jul 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kurtis Jone

Title

Program

Phone

(704) 532-5364

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1508179730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 CLEAR MEADOW LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276474",
            "telephone_number": "704-791-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SHAMROCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153220",
            "telephone_number": "704-532-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "JONE",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_title_or_position": "PROGRAM",
        "authorized_official_telephone_number": "704-532-5364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Project 1, Inc.
• Genesis Project Family Wellness Center, Inc.
• Genesis Project Medical Laboratory
• Genesis Rehab
• Genesis Rehab Services
• Genesis Sports Management
• Genesis Youth & Family Services, LLC
• Genesis Youth & Family Services, LLC
• Genesix Therapy PLLC
• Grace Barrosa Genetiano

• Skilled Nursing Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.