Organization Active NPI

Genisis Healthcare

  • Physical Disabilities Residential Treatment Facility
  • Kennett Square, PA
National Provider Identifier
1851691646
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
46TA09004100 Issued in NJ
Legal business name
GENISIS HEALTHCARE
Practice address
101 E State St
Kennett Square, PA 19348-3109
Phone
(610) 645-8428
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Stephanie Geissel, COTA
Title
Cota
Phone
(201) 541-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 46TA09004100 NJ Primary

Addresses

Primary practice location

101 E State St
Kennett Square, PA 19348-3109

Mailing address

379 Long Hill Rd
Gillette, NJ 07933-1431
Phone (908) 295-5150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1851691646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 LONG HILL RD",
            "city": "GILLETTE",
            "state": "NJ",
            "postal_code": "079331431",
            "telephone_number": "908-295-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-645-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENISIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GEISSEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "201-541-4323",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "46TA09004100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.