NPIMap

Organization Active NPI

Genesis Elder Care Rehabilitation Services, Inc

  • Skilled Nursing Facility
  • Tuscumbia, AL
National Provider Identifier
1699143297
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GENESIS ELDER CARE REHABILITATION SERVICES, INC
Doing business as
Genesis Rehabilitation Services
Practice address
813 Keller LN
Tuscumbia, AL 35674-1110
Phone
(256) 383-1535
NPI assigned
Sep 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Authorized official

Name
Mr. Chad Fisher, PTA, RD
Title
Physical Threalist/Rehab Director
Phone
(813) 727-7741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

813 Keller LN
Tuscumbia, AL 35674-1110

Mailing address

813 Keller LN
Tuscumbia, AL 35674-1110
Phone (256) 383-1535

Other names 1

  • Genesis Rehabilitation Services 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": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1699143297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 KELLER LN",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741110",
            "telephone_number": "256-383-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 KELLER LN",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741110",
            "telephone_number": "256-383-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDER CARE REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHYSICAL THREALIST/REHAB DIRECTOR",
        "authorized_official_telephone_number": "813-727-7741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA, RD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.