Georgian Rehab, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GEORGIAN REHAB, INC.

Practice address

8407 Steilacoom Blvd SW
Lakewood, WA 98498-4706

Phone

(253) 588-2146

Fax

(253) 582-3607

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Allyson Jenkins, NHA

Title

Administrator

Phone

(253) 588-2146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgian House Doing business as

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902870686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 STEILACOOM BOULEVARD, SOUTHWEST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-588-2146",
            "fax_number": "253-582-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 STEILACOOM BLVD SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984984706",
            "telephone_number": "253-588-2146",
            "fax_number": "253-582-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIAN REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-588-2146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112512",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgian House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genoa Healthcare LLC
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• Laetitia Geoffroy-Dallery, PSY.D.
• Deena Marie George
• Kendrick Connviel George, CNA
• Gerard Counseling and Consulting, LLC
• Marcene Germani, PT
• Marc Joshua Gerson, HS
• Sean Ghidella, MD
• Manroop Ghuman

• Skilled Nursing Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.