Active NPI
Genesis Eldercare Rehabilitation Services LLC
- Rehabilitation Clinic/Center
- Canton, OH
National Provider Identifier
1700251998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- GENESIS ELDERCARE REHABILITATION SERVICES LLC
- Practice address
- 4515 22ND St NW
C/O Canton Regency
Canton, OH 44708-1573 - Phone
- (234) 804-0434
- NPI assigned
- Dec 14, 2015
- 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
- Louise Ann Soika
- Title
- SVP
- Phone
- (610) 925-4088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
4515 22ND St NW
C/O Canton Regency
Canton, OH 44708-1573
Mailing address
101 E State St
C/O Amy Nunemaker
Kennett Square, PA 19348-3109
Phone (610) 925-4560
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518652800000",
"number": "1700251998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"address_2": "C/O AMY NUNEMAKER",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 22ND ST NW",
"address_2": "C/O CANTON REGENCY",
"city": "CANTON",
"state": "OH",
"postal_code": "447081573",
"telephone_number": "234-804-0434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2018-02-15",
"status": "A",
"authorized_official_last_name": "SOIKA",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "610-925-4088"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.