NPIMap

Organization Active NPI

Genesis Rehab

  • Skilled Nursing Facility
  • Union, MS
National Provider Identifier
1699168971
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PTA3677 Issued in MS
Legal business name
GENESIS REHAB
Practice address
438 North St
Union, MS 39365-9506
Phone
(601) 692-3003
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. Murray K. Moorehead
Title
Pta
Phone
(601) 692-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PTA3677 MS Primary

Addresses

Primary practice location

438 North St
Union, MS 39365-9506

Mailing address

438 North St
Union, MS 39365-9506
Phone (601) 692-3003

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1699168971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 NORTH ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393659506",
            "telephone_number": "601-692-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 NORTH ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393659506",
            "telephone_number": "601-692-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MOOREHEAD",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "601-692-3003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "PTA3677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.