Genesis Rehab Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

056002295 Issued in IL

Legal business name

GENESIS REHAB SERVICES

Practice address

3N226 Loblolly LN
St Charles, IL 60175-7656

Phone

(630) 377-7092

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Susan C Royce, OTR/L

Title

Occupational Therapist

Phone

(630) 377-7092

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathryn M Deangelis, MS,OTR/L

  • Occupational Therapist
  • Glenview, IL
  • NPI 1700051570
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1952736407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3N226 LOBLOLLY LN",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757656",
            "telephone_number": "630-377-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3N226 LOBLOLLY LN",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757656",
            "telephone_number": "630-377-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "ROYCE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "630-377-7092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "056002295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Gearen, FNP LICENSE PENDING
• Nicole Lucia Gedraitis, MHS,CCC-SLP/L
• Bradley Gee, LCPC
• Genesis Orthopedics & Sports Medicine LLC
• Genesis Physical Therapy LLC
• Mary C Gensler, D.C.
• Scott Jeffrey Genutis, DDS,MS
• Ruth George
• Sophia George, LPC
• Georgina Srinivas Rao, M.D., S.C.

• Assisted Living Facility in St Charles, IL
• Providers in St Charles, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.