Genesis Healthcare

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

2202005604 Issued in VA

Legal business name

GENESIS HEALTHCARE

Practice address

113 Atwell Lane
Hampton, VA 23669

Phone

(315) 404-2936

NPI assigned

Apr 27, 2009

Last updated

Apr 27, 2009By 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

Miss Nicole Rotolo, M.A.-CFY

Title

Speech Language Pathologist

Phone

(315) 404-2936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1649414269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ATWELL LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ATWELL LANE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23669",
            "telephone_number": "315-404-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ROTOLO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "315-404-2936",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.A.-CFY"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "VA",
            "license": "2202005604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Gellene-Beaudoin, LCSW
• Laura Gendron
• Genesis Autism Center, LLC
• Genesis Counseling Center, Inc.
• Genesis Counseling Center, Inc.
• Genesis Rehab Services
• Genesis Rehabilitation Services
• Genoa Healthcare LLC
• Genoa Pharmacy
• Benjamin David Gensler, PA

• Rehabilitation Hospital in Hampton, VA
• Providers in Hampton, VA by specialty
• Rehabilitation Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.