Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Waimanalo, HI
National Provider Identifier
1730420332
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1195 Issued in HI
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
XLPR000030354716OtherHIHMSA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.