Genesis Healthcare Lebanon

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GENESIS HEALTHCARE LEBANON

Practice address

1218 South Randolph Road
Randolph Center, VT 05061

Phone

(802) 728-9786

NPI assigned

Aug 3, 2010

Last updated

Aug 18, 2010By 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

Tammy Rea-FarmerNPI 1073818191

Title

PT

Phone

(802) 295-7391

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, and the practitioner matching its NPPES authorized official.

• Tammy Rea-Farmer, PT

  • Physical Therapist
  • Randolph Center, VT
  • NPI 1073818191
  NPD (past) Authorized official

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1982918843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S RANDOLPH RD",
            "city": "RANDOLPH CENTER",
            "state": "VT",
            "postal_code": "050619528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SOUTH RANDOLPH ROAD",
            "city": "RANDOLPH CENTER",
            "state": "VT",
            "postal_code": "05061",
            "telephone_number": "802-728-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE LEBANON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "REA-FARMER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "802-295-7391"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur C Knippler, D.M.D.
• Tammy Rea-Farmer, PT
• Work in Progress LLC

• Skilled Nursing Facility in Randolph Center, VT
• Providers in Randolph Center, VT by specialty
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.