NPIMap

Organization Active NPI

Genesis Eldercare

  • Skilled Nursing Facility
  • Brooklyn Park, MD
National Provider Identifier
1659664431
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
224Z00000X Issued in MD
Legal business name
GENESIS ELDERCARE
Practice address
613 Hammonds LN
Brooklyn Park, MD 21225-3351
Phone
(410) 350-8514
Fax
(410) 636-8931
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Ms. Monique Price
Title
Program Manager
Phone
(410) 350-8514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 224Z00000X MD Primary

Addresses

Primary practice location

613 Hammonds LN
Brooklyn Park, MD 21225-3351

Mailing address

613 Hammonds LN
Brooklyn Park, MD 21225-3351

Other names 1

  • Genesis Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1659664431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HAMMONDS LN",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HAMMONDS LN",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253351",
            "telephone_number": "410-350-8514",
            "fax_number": "410-636-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "410-350-8514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "224Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.