Genesis Healthcare, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000126 Issued in IL

Legal business name

GENESIS HEALTHCARE, INC

Practice address

2605 Woodlawn Rd Ste 1
Sterling, IL 61081-4174

Phone

(815) 625-1115

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By 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. Judity Skates, RN

Title

Administrator

Phone

(815) 625-1115

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1558648998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 WOODLAWN RD STE 1",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814174",
            "telephone_number": "815-625-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WOODLAWN RD STE 1",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610814174",
            "telephone_number": "815-625-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "SKATES",
        "authorized_official_first_name": "JUDITY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-625-1115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "4000111",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaffey Home Nursing & Hospice Inc.
• Jobelle D Gamboa, MSN-APRN
• Brooke Garcia-Nettz
• Jennifer M Garriott, N.P.
• Eric E Gaumer, D.C.
• Michael Gerberi, M.D.
• Rachel Marie Ghrist, BS, MHP
• Blake Mitchell Gilbert
• Leah Gilmore
• Rajan Gopal, M.D.

• In Home Supportive Care Agency in Sterling, IL
• Providers in Sterling, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.