Organization Active NPI

Genesis Rehab

  • Skilled Nursing Facility
  • Cleveland, OH
National Provider Identifier
1619315884
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OTA2838 Issued in OH
Legal business name
GENESIS REHAB
Practice address
520 E 103Rd St
Cleveland, OH 44108-1330
Phone
(216) 256-8152
NPI assigned
Jun 11, 2013
Last updated
Jun 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Mr. Leon Ellerb Jr., OTA/L
Title
Occupational Therapist Assistance
Phone
(216) 256-8152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OTA2838 OH Primary

Addresses

Primary practice location

520 E 103Rd St
Cleveland, OH 44108-1330

Mailing address

520 E 103Rd St
Cleveland, OH 44108-1330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1619315884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 103RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 103RD ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081330",
            "telephone_number": "216-256-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "ELLERB",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST ASSISTANCE",
        "authorized_official_telephone_number": "216-256-8152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTA/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "OTA2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.