Organization Active NPI

Genesis Healthcare

  • Skilled Nursing Facility
  • Brookfield, WI
National Provider Identifier
1912340746
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4264-26 Issued in WI
Legal business name
GENESIS HEALTHCARE
Practice address
660 Woelfel Rd
Brookfield, WI 53045-2927
Phone
(262) 577-0225
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Lori Freisinger
Title
Area Director
Phone
(414) 531-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4264-26 WI Primary

Addresses

Primary practice location

660 Woelfel Rd
Brookfield, WI 53045-2927

Mailing address

3212 W Mount Vernon Ave
Milwaukee, WI 53208-4130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1912340746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 W MOUNT VERNON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532084130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WOELFEL RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452927",
            "telephone_number": "262-577-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "FREISINGER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "414-531-5226"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "4264-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.