Organization Active NPI

Genesis Eldercare Rehabilitation Services LLC

  • Rehabilitation Clinic/Center
  • Gahanna, OH
National Provider Identifier
1922093301
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GENESIS ELDERCARE REHABILITATION SERVICES LLC
Practice address
775 E Johnstown Rd
C/O Sunrise of Gahanna
Gahanna, OH 43230-2115
Phone
(614) 532-5199
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Louise Ann Soika
Title
SVP
Phone
(610) 925-4088

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

775 E Johnstown Rd
C/O Sunrise of Gahanna
Gahanna, OH 43230-2115

Mailing address

101 E State St
C/O Amy Nunemaker
Kennett Square, PA 19348-3109

Other identifiers 1

IdentifierTypeStateIssuer
412169915-00OtherOHBWC PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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Phone (417) 429-3666

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Phone (603) 466-5972

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Phone (732) 730-9500

593 Gates St
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Phone (330) 658-5275

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201 Woodward Ave
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2005 Rte 22 W
Philadelphia, PA 19182

5250 Meadowgreen Dr
Pittsburgh, PA 15236
Phone (412) 881-1195

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Phone (843) 357-0200

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Nashville, TN 37221

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Phone (615) 220-0602

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Phone (540) 400-6430

2001 Ridgewood Dr
Fl 1
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N4901 Dam Rd
Ste A
Delavan, WI 53115
Phone (262) 740-2170

3312 Terrace Ct
Wausau, WI 54401
Phone (715) 298-2060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1922093301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "address_2": "C/O AMY NUNEMAKER",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E JOHNSTOWN RD",
            "address_2": "C/O SUNRISE OF GAHANNA",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302115",
            "telephone_number": "614-532-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "SOIKA",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "610-925-4088"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC PROVIDER NUMBER",
            "identifier": "412169915-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.