Genesis Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA001388 Issued in WV

Legal business name

GENESIS HEALTHCARE

Practice address

225 Russell Ave
New Martinsville, WV 26155-1572

Phone

(304) 455-2600

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 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

Gary Burnian

Title

Director of Rehab

Phone

(304) 455-2600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1972976538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RUSSEL AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RUSSELL AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551572",
            "telephone_number": "304-455-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "BURNIAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR OF REHAB",
        "authorized_official_telephone_number": "304-455-2600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "PTA001388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22520000X",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Fox, LPN
• Stephanie Fritzman, BS
• Thomas Frye
• Debora A. Galford
• Amanda Kay Geho
• Beverly Mae Gibb
• Jasmine Nicole Glessner
• Teresa Kim Goots
• Melissa Kay Griffey
• Arinn Gustin, APRN

• Skilled Nursing Facility in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.