Genesis Health Care

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

A2933 Issued in MD

Legal business name

GENESIS HEALTH CARE

Practice address

35 Milkshake LN
Annapolis, MD 21403-1507

Phone

(410) 269-5100

Fax

(410) 216-9123

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Brenda Lavonne Green, PTA

Title

Physical Therapy Assistant

Phone

(410) 674-3755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1598989477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BULRUSH CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132924",
            "telephone_number": "410-269-5100",
            "fax_number": "410-216-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILKSHAKE LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031507",
            "telephone_number": "410-269-5100",
            "fax_number": "410-216-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LAVONNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "410-674-3755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MD",
            "license": "A2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teodros Taddese Gebru
• Carol Torian Geithner, LMT
• Jeffrey Gelfand, MD
• Duane M Gels, MD
• Gemini Imaging Group, Inc
• Genesis Rehabilitation Services
• Genesis Rehabilitation Services
• Genesis Spa Creek Center
• Ryan Reeder Gens, DDS
• Karen Gentile, CLINICAL SOCIAL WORK

• Nursing Facility/Intermediate Care Facility in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Nursing Facility/Intermediate Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.