Organization Active NPI

Genesis Eldercare Rehab SVCS

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1922585991
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
GENESIS ELDERCARE REHAB SVCS
Practice address
3300 Wilkens Ave
Baltimore, MD 21229-4610
Phone
(410) 525-1544
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Sara Weiss
Title
Speech Therapist-Clinical Fellow
Phone
(443) 933-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

3300 Wilkens Ave
Baltimore, MD 21229-4610

Mailing address

9404 Owings Heights Cir Apt 304
Owings Mills, MD 21117-6396
Phone (443) 933-0808

Other practice location 1

16 Fusting Ave
Catonsville, MD 21228-4413
Phone (410) 747-1800

National Provider Directory

National Provider Directory

Locations

3300 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

16 Fusting Ave
Catonsville, MD 21228
Phone (410) 474-1800

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1922585991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 OWINGS HEIGHTS CIR APT 304",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176396",
            "telephone_number": "443-933-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294610",
            "telephone_number": "410-525-1544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Fusting Ave",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284413",
            "country_code": "US",
            "telephone_number": "410-747-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SPEECH THERAPIST-CLINICAL FELLOW",
        "authorized_official_telephone_number": "443-933-0808"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.