NPIMap

Organization Active NPI

Genesis Eldercare Rehab SVCS

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1932337110
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
910 Issued in NH
Legal business name
GENESIS ELDERCARE REHAB SVCS
Practice address
235 Myrtle St
Manchester, NH 03104-0104
Phone
(603) 627-3811
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Bruce Bourbeau, PTANPI 1013149418
Title
Physical Therapist Assistant
Phone
(603) 627-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 910 NH Primary

Addresses

Primary practice location

235 Myrtle St
Manchester, NH 03104-0104

Mailing address

271 Wellington Hill Rd
Manchester, NH 03104-0104

National Provider Directory

National Provider Directory
Tax ID family
Genesis Eldercare Rehab LLC209 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1932337110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 WELLINGTON HILL RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031040104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MYRTLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031040104",
            "telephone_number": "603-627-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHAB SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "BOURBEAU",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "603-627-3811",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.