Active NPI
Genesis Rehab
- Skilled Nursing Facility
- Kennett Square, PA
National Provider Identifier
1891018750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 00598
- Legal business name
- GENESIS REHAB
- Practice address
- 600 S Broad St
Kennett Square, PA 19348-3346 - Phone
- (610) 925-4551
- NPI assigned
- Mar 8, 2010
- Last updated
- Mar 8, 2010
- 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. Bethany Ann Koch, NACCCSLP
- Title
- Program Manager
- Phone
- (216) 361-6141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 00598 | OH | Primary |
Addresses
Primary practice location
600 S Broad St
Kennett Square, PA 19348-3346
Mailing address
3383 Colwyn Rd
Shaker HTS, OH 44120-4221
Phone (216) 333-2848
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1891018750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3383 COLWYN RD",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441204221",
"telephone_number": "216-333-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S BROAD ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483346",
"telephone_number": "610-925-4551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "BETHANY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "216-361-6141",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NACCCSLP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "00598",
"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 Mar 8, 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.