Genesisrehab Services

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

KY 002888 Issued in KY

Legal business name

GENESISREHAB SERVICES

Practice address

225 Saint John Rd
Elizabethtown, KY 42701-2918

Phone

(270) 769-3314

NPI assigned

Mar 5, 2014

Last updated

Mar 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alan Burba

Title

PT

Phone

(270) 769-9733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1881010569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SAINT JOHN RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012918",
            "telephone_number": "270-769-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SAINT JOHN RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012918",
            "telephone_number": "270-769-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISREHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "BURBA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "270-769-9733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "KY 002888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicente Gavieres, MD
• Mohammad K Gayasaddin, MD
• Roger Lewis Gelperin, D.O.
• Genesis Counseling LLC
• Genesis Rehab
• Carol George, ATC
• Paul E Gerard III, M.D.
• Cheryl D Geren, PHARMD
• Arfa Ghani, DMD
• Zoe Gibons

• Nursing Facility/Intermediate Care Facility in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Nursing Facility/Intermediate Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.