Genesis Rehab Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

A-0411 Issued in NM

Legal business name

GENESIS REHAB SERVICES

Practice address

306 E Nizhoni Blvd
Gallup, NM 87301-5794

Phone

(505) 863-9551

NPI assigned

Oct 22, 2015

Last updated

Oct 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Greta Rucker

Title

Pta/Dor

Phone

(505) 863-9551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1932571528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E. NIZHONI BLVD.",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E NIZHONI BLVD",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015794",
            "telephone_number": "505-863-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "PTA/DOR",
        "authorized_official_telephone_number": "505-863-9551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "A-0411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Joan Gayle
• GCH Campus Clinic
• Misty Rae Gearhart, RN
• Sandra Ann Geary, LCSW
• Donovan Jay Gee, CSW/PSR
• Jennifer Gentile, RN
• Michele Dawn Gentles, RN
• Samantha G Gentry, RN
• Lorena George
• Mark Geraghty, LPCC

• Assisted Living Facility in Gallup, NM
• Providers in Gallup, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.