Active NPI
Genesis Healthcare Services
- Home Health Agency
- South Euclid, OH
National Provider Identifier
1649989633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GENESIS HEALTHCARE SERVICES
- Practice address
- 1414 S Green Rd Ste 107
South Euclid, OH 44121-3936 - Phone
- (440) 627-2600
- Fax
- (440) 624-2600
- NPI assigned
- Nov 17, 2022
- 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
- Marvienne Talley, RN
- Title
- President
- Phone
- (440) 627-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1414 S Green Rd Ste 107
South Euclid, OH 44121-3936
Mailing address
1414 S Green Rd Ste 107
South Euclid, OH 44121-3936
Phone (440) 627-2600
National Provider Directory
National Provider DirectoryLocations
1414 S Green Rd
Ste 107
South Euclid, OH 44121
Phone (440) 627-2600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- South Euclid, OH
- NPI 1689528085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668643200000",
"number": "1649989633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 S GREEN RD STE 107",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213936",
"telephone_number": "440-627-2600",
"fax_number": "440-624-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S GREEN RD STE 107",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213936",
"telephone_number": "440-627-2600",
"fax_number": "440-624-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A",
"authorized_official_last_name": "TALLEY",
"authorized_official_first_name": "MARVIENNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-627-2600",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.