Genesis Eldercare Rehabilitation Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

GENESIS ELDERCARE REHABILITATION SERVICES LLC

Practice address

48 Osprey Village Dr
C/O Osprey Village at Amelia Island
Amelia Island, FL 32034-4955

Phone

(904) 491-1701

NPI assigned

Aug 11, 2014

Last updated

Feb 13, 2018By 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

Louise Ann Soika

Title

SVP

Phone

(610) 925-4088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1952710378",
    "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",
            "telephone_number": "610-925-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 OSPREY VILLAGE DR",
            "address_2": "C/O OSPREY VILLAGE AT AMELIA ISLAND",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320344955",
            "telephone_number": "904-491-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2018-02-13",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Hicks Botts, CCC/SLP
• Jennifer Renee Carlisle, PTA
• CMZ Chiropractic LLC
• Family Counseling & Psychological Services LLC
• Genesis Eldercare Rehabilitation Services LLC
• Jayde Marie Gray, DC
• Gregory N. Smith MD PA
• Ken Ferrell Johnson Jr., PSYD
• Michele Elizabeth Johnson, LMHC
• Emily Jones, ATC, LAT

• Rehabilitation Clinic/Center in Amelia Island, FL
• Providers in Amelia Island, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.