Active NPI
Genesis Rehab Services
- Skilled Nursing Facility
- Waimanalo, HI
National Provider Identifier
1730420332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1195
- Legal business name
- GENESIS REHAB SERVICES
- Practice address
- 41-749 Mekia St
Waimanalo, HI 96795-1339 - Phone
- (973) 330-2683
- NPI assigned
- Mar 6, 2013
- Last updated
- Mar 6, 2013
- 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
- Damian Sempio
- Title
- Program Manager Rehab
- Phone
- (808) 441-9538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1195 | HI | Primary |
Addresses
Primary practice location
41-749 Mekia St
Waimanalo, HI 96795-1339
Mailing address
41-749 Mekia Street
Waimanalo, HI 96795
Phone (973) 330-2683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XLPR000030354716 | Other | HI | HMSA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1730420332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-749 MEKIA STREET",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "96795",
"telephone_number": "973-330-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-749 MEKIA ST",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951339",
"telephone_number": "973-330-2683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "SEMPIO",
"authorized_official_first_name": "DAMIAN",
"authorized_official_title_or_position": "PROGRAM MANAGER REHAB",
"authorized_official_telephone_number": "808-441-9538"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "HI",
"license": "1195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "XLPR000030354716",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waimanalo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.