Active NPI
Genesis Rehabilitative Services
- Skilled Nursing Facility
- Middletown, RI
National Provider Identifier
1821235847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- OTA00416
- Legal business name
- GENESIS REHABILITATIVE SERVICES
- Practice address
- 333 Green End Ave
Middletown, RI 02842-5620 - Phone
- (401) 849-7100
- NPI assigned
- Jan 13, 2009
- 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
- Ms. Sandra Pauline Colozzo, COTA
- Title
- Certified Occupational Therapy Asst
- Phone
- (401) 849-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OTA00416 | RI | Primary |
Addresses
Primary practice location
333 Green End Ave
Middletown, RI 02842-5620
Mailing address
145 Youngs Ave
Coventry, RI 02816-7550
Phone (401) 821-8899
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Middletown, RI
- NPI 1962781534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231804800000",
"number": "1821235847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 YOUNGS AVE",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028167550",
"telephone_number": "401-821-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 GREEN END AVE",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425620",
"telephone_number": "401-849-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHABILITATIVE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A",
"authorized_official_last_name": "COLOZZO",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "PAULINE",
"authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASST",
"authorized_official_telephone_number": "401-849-7100",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "COTA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "RI",
"license": "OTA00416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.