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Genesis Healthcare Corporation

Organization Active NPI Hearing and Speech Clinic/Center · Jacksonville, FL

NPI 1912375056 · NPPES record last updated Sep 7, 2015

Key facts

NPI
1912375056
Entity type
Organization (NPI type 2)
Primary specialty
Hearing and Speech Clinic/Center 261QH0700X
Legal business name
GENESIS HEALTHCARE CORPORATION
Practice address
11565 Harts Rd
Jacksonville, FL 32218-3777
Phone
(904) 751-1834
NPI assigned
Sep 7, 2015
Organization subpart
No

Authorized official

Name
Jamie Rouco
Title
Human Resources Generalist
Phone
(610) 925-2205

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Genesis Healthcare (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Yes

Addresses

Primary practice location

11565 Harts Rd
Jacksonville, FL 32218-3777

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-2205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 7, 2015.

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1912375056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-2205",
            "fax_number": "610-612-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 HARTS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322183777",
            "telephone_number": "904-751-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "ROUCO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "HUMAN RESOURCES GENERALIST",
        "authorized_official_telephone_number": "16109252205"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Hearing and Speech Clinic/Center in Florida

Sources for this page

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