Active NPI
Genesis Rehab Services
- Skilled Nursing Facility
- Waterville, ME
National Provider Identifier
1619362381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- OA2577
- Legal business name
- GENESIS REHAB SERVICES
- Practice address
- 27 Cool St
Waterville, ME 04901-5221 - Phone
- (207) 873-0721
- NPI assigned
- Mar 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Brazier
- Title
- Occupational Therapy Assistant
- Phone
- (208) 873-0721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OA2577 | ME | Primary |
Addresses
Primary practice location
27 Cool St
Waterville, ME 04901-5221
Mailing address
27 Cool St
Waterville, ME 04901-5221
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427760000000",
"number": "1619362381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COOL ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COOL ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015221",
"telephone_number": "207-873-0721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A",
"authorized_official_last_name": "BRAZIER",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "208-873-0721"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "OA2577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.