GENSIS (NPI# 1053611525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053611525 |
| Entity Type | Organization |
| Organization Name | GENSIS |
| Practice Address |
330 West Crawford Ave Toledo OH 43612 |
| Mailing Address |
330 W Crawford Ave Toledo OH 43612-3451 |
| Practice Telephone | 5179026224 |
| Mailing Telephone | 5179026224 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | MRS. TARY A DUNIGAN (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 5179026224 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | N/A | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GENSIS 2 L.L.C. | 12411 Hummingbird Way, Sellersburg, IN 47172 |
| Washington State Corporations | GENSIS, INCORPORATED | 36216 1st Ave S, Roy, WA 98580 |
| Street Address |
330 WEST CRAWFORD AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296481 | Alyssa Ellis | Registered Nurse | 3821 Revere Drive, Toledo, OH 43612 | 2019-03-29 |
| 1235603838 | Kimberly R Lockhart | Counselor | 1701 W. Sylvania Ave., Toledo, OH 43612 | 2019-01-16 |
| 1770054264 | Brandy Michelle Gore | Case Manager/Care Coordinator | 1711 Sylvania Ave, Toledo, OH 43612 | 2018-12-10 |
| 1457868135 | Gwendolyn Rita Tucker | Technician | 206 Waggoner, Toledo, OH 43612 | 2018-01-04 |
| 1205359593 | Brittany Leann Davis | Licensed Practical Nurse | 738 W Poinsetta, Toledo, OH 43612 | 2017-07-19 |
| 1619406261 | Sarah Jean Lawrence | Technician | 3814 Berkeley Dr, Toledo, OH 43612 | 2017-06-07 |
| 1497298145 | Cathy Hebert | Home Health Aide | 4144 Caroline Ave, Toledo, OH 43612 | 2016-11-29 |
| 1740572122 | Robert Edward Dorrell | Pharmacist | 1012 W. Sylvania Ave, Toledo, OH 43612 | 2011-05-04 |
| 1821206665 | Best At Home Healthcare Services, LLC | Home Health | 33 New Towne Sq Dr., Suite B, Toledo, OH 43612 | 2007-05-17 |
| 1891795829 | Brookeside Ambulance Service Inc | Ambulance | 640 Phillips Ave, Toledo, OH 43612 | 2005-08-01 |
| Find all providers in zip 43612 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061915 | Chi Living Communities | Skilled Nursing Facility | 5942 Renaissance Pl, Suite A, Toledo, OH 43623-4716 | 2016-05-20 |
| 1669836722 | Kennethia Banner | Skilled Nursing Facility | 6011 Willowvale Dr, Toledo, OH 43615-5734 | 2016-04-05 |
| 1538520127 | Chi Living Communities | Skilled Nursing Facility | 4111 N Holland Sylvania Rd, Toledo, OH 43623-2503 | 2016-03-10 |
| 1861892309 | Samyrah Hughes-woodley | Skilled Nursing Facility | 514 Thayer St, Toledo, OH 43609-3252 | 2014-09-03 |
| 1467644799 | Shaun Sieger | Skilled Nursing Facility | 4739 Ottawa Trl, Toledo, OH 43611-1879 | 2007-08-10 |
| 1750582342 | Darlington Nursing and Rehab Center, Ltd | Skilled Nursing Facility | 2735 Darlington Rd, Toledo, OH 43606-3206 | 2007-05-30 |
| 1942330113 | Covenant Care Ohio, Inc. | Skilled Nursing Facility | 4420 South Ave, Toledo, OH 43615-6417 | 2007-03-06 |
| 1184786659 | Premier Estates of Toledo, LLC | Skilled Nursing Facility | 403 Grandview Dr, Toledo, IA 52342-2105 | 2006-12-14 |
| 1538233283 | Healthcare Ventures of Ohio LLC | Skilled Nursing Facility | 2401 Cass Rd, Toledo, OH 43614-3119 | 2006-11-17 |
| 1942371570 | Arbors At Toledo, Inc. | Skilled Nursing Facility | 2920 Cherry St, Toledo, OH 43608-1716 | 2006-11-13 |
| Find all providers in TOLEDO | ||||
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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.