GENESIS ELDERCARE REHABILITATION SERVICES LLC (NPI# 1013300698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013300698 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| Practice Address |
731 Polo Rd C/o Wildewood Downs Columbia SC 29223-4462 |
| Mailing Address |
101 E State St C/o Amy Nunemaker Kennett Square PA 19348-3109 |
| Practice Telephone | 8037888655 |
| Mailing Telephone | 6109254560 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | LOUISE ANN SOIKA (SVP) |
| Authorized Official Telephone | 6109254088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| 1710426499 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 213 Ana Dr, Florence, AL 35630-1768 | 2017-02-15 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 1043663297 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3450 Wimbledon Dr, C/o Summer Vista Assisted Living, Pensacola, FL 32504-4506 | 2016-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Genesis ElderCare Rehabilitation Services LLC | 101 E State Street, Kennett Square, Pennsylvania 19348 |
| Street Address |
731 POLO RD C/O WILDEWOOD DOWNS |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134244387 | Elizabeth Taylor Adams | Physical Therapist | 731 Polo Rd, Columbia, SC 29223-4462 | 2007-03-20 |
| 1841823945 | Margaret A Mckinney | Occupational Therapist | 731 Polo Rd, Columbia, SC 29223-4462 | 2020-02-17 |
| 1619532801 | Wildewood Retirement LLC | Skilled Nursing Facility | 731 Polo Rd, Columbia, SC 29223-4462 | 2019-05-03 |
| 1265937700 | Haleigh Morgan Rioux | Occupational Therapist | 731 Polo Rd, Columbia, SC 29223-4462 | 2018-03-27 |
| 1053830810 | Kelsey Marie Odom | Physical Therapy Assistant | 731 Polo Rd, Columbia, SC 29223-4462 | 2017-09-13 |
| 1346781127 | Sara Hibbs O'brien | Physical Therapy Assistant | 731 Polo Rd, Columbia, SC 29223-4462 | 2017-03-14 |
| 1386093086 | Joseph Slagle | Physical Therapy Assistant | 731 Polo Rd, Columbia, SC 29223-4462 | 2016-06-03 |
| 1710333877 | Chelsea Healey | Student in an Organized Health Care Education/Training Program | 731 Polo Rd, Columbia, SC 29223-4462 | 2016-05-09 |
| 1629437983 | Alison Eubanks Fogle | Physical Therapy Assistant | 731 Polo Rd, Columbia, SC 29223-4462 | 2016-02-15 |
| 1558726885 | Joni Shirk Marino | Physical Therapy Assistant | 731 Polo Rd, Columbia, SC 29223-4462 | 2015-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356234 | Physiotherapy Associates, Inc. | Clinic/Center | 6300 Woodside Ct Ste E, Columbia, MD 21046-3360 | 2019-06-26 |
| 1528514130 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 St Andrews Road, Ste 203, Columbia, SC 29212-1177 | 2016-09-01 |
| 1346635752 | Pro Chiropractic and Performance, LLC. | Clinic/Center | 1014 Leesburg Rd, Columbia, SC 29209-2131 | 2015-04-02 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1801991625 | Physiotherapy Associates Inc | Clinic/Center | 8885 Centre Park Dr, Columbia, MD 21045-2199 | 2006-09-14 |
| 1093760928 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2006-05-22 |
| 1295784197 | Rehab Outreach, L.L.C. | Clinic/Center | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2006-05-08 |
| 1144280603 | Select Physical Therapy Holdings Inc | Clinic/Center | 200 N Keene St, Columbia, MO 65201-8102 | 2006-03-27 |
| 1154380160 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1150 Columbia Ctr, Columbia, IL 62236-2559 | 2006-03-20 |
| 1679181713 | Lexington County Health Services District, Inc. | Clinic/Center | 103 Summit Centre Dr, Columbia, SC 29229-7613 | 2020-07-15 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.