NPIMap

Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Palm Coast, FL
National Provider Identifier
1720359185
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
OTA11753 Issued in FL
Legal business name
GENESIS REHAB SERVICES
Practice address
3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209
Phone
(386) 446-6060
NPI assigned
Jan 17, 2012
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Rebecca Haley
Title
VP, Human Resources
Phone
(800) 243-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OTA11753 FL Primary

Addresses

Primary practice location

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209

Mailing address

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209

National Provider Directory

National Provider Directory
Tax ID family
Kimberly Hall South209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1720359185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PALM COAST PKWY SE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PALM COAST PKWY SE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378209",
            "telephone_number": "386-446-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "VP, HUMAN RESOURCES",
        "authorized_official_telephone_number": "800-243-4556"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "OTA11753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.