GENESIS ELDERCARE REHABILITATION SERVICES, INC (NPI# 1083025936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083025936 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE REHABILITATION SERVICES, INC |
| Practice Address |
301 Lake St Dallas PA 18612-7752 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 5706746954 |
| Enumeration Date | 2014-05-14 |
| 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 |
|---|---|---|---|---|
| 1669731048 | Genesis Eldercare Rehabilitation Services, Inc | Occupational Therapist | 1558 E Spruce St, Olathe, KS 66061-3647 | 2012-05-07 |
| 1457730202 | Genesis Eldercare Rehabilitation Services, Inc | Skilled Nursing Facility | 101 E State St, Kennett Square, PA 19348-3109 | 2015-05-27 |
| 1023217635 | Genesis Eldercare Rehabilitation Services, Inc | Durable Medical Equipment & Medical Supplies | 101 E State St, Kennett Square, PA 19348-3109 | 2007-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Genesis ElderCare Rehabilitation Services, Inc. | 101 East State Street, Kennett Square, PA 19348 |
| Oregon Corporations, Companies and Business Names | GENESIS ELDERCARE REHABILITATION SERVICES, INC. | 101 E State Street, Kennett Square, PA 19348 |
| Vermont Business Registrations | GENESIS ELDERCARE REHABILITATION SERVICES, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | GENESIS ELDERCARE REHABILITATION SERVICES, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
301 LAKE ST |
| City | DALLAS |
| State | PA |
| Zip Code | 18612-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264672 | Mercy Center Nursing Unit | Skilled Nursing Facility | 301 Lake St, Dallas, PA 18612-7752 | 2005-09-06 |
| 1164085254 | Kristina Mary Ruby | Physical Therapist | 301 Lake St, Dallas, PA 18612-7752 | 2019-04-15 |
| 1366911620 | Misericordia University | Nurse Practitioner | 301 Lake St, Dallas, PA 18612-7752 | 2018-11-16 |
| 1972052181 | Erin Roberts | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2016-09-28 |
| 1326413923 | Kylie Ann Cox | Speech-Language Pathologist | 301 Lake St, Mercy Center, Dallas, PA 18612-7752 | 2015-12-08 |
| 1205207784 | Natalie Lynn Fox | Occupational Therapy Assistant | 301 Lake St, Dallas, PA 18612-7752 | 2015-10-09 |
| 1306229802 | Kimberly Anne Hartman | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2015-07-01 |
| 1679984074 | Marisa Irizarry | Speech-Language Pathologist | 301 Lake St, Dallas, PA 18612-7752 | 2014-05-19 |
| 1912201880 | Heather Siskovich | Physical Therapist | 301 Lake St, Mercy Center, Dallas, PA 18612-1008 | 2011-01-06 |
| 1013221498 | Misericordia University Speech-language and Hearing Center | Early Intervention Provider Agency | 301 Lake St, Dallas, PA 18612-1008 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487009882 | Jacqueline Patricia O'brien | Occupational Therapist | 345 Lake Louise Rd, Dallas, PA 18612 | 2016-05-04 |
| 1164772927 | Katie M Ferguson | Pharmacist | 26 Dallas Shopping Center Memorial Highway, Dallas, PA 18612 | 2012-09-19 |
| 1619235892 | Crista Zern | Physical Therapist | 4 East Center Hill Road, Dallas, PA 18612 | 2012-04-25 |
| 1336423631 | Angela Mary Evans | Nurse Practitioner | 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 | 2011-10-05 |
| 1376835868 | Peter Frederick Casterline | Surgery | 5 Old Well Lane, Dallas, PA 18612 | 2011-05-03 |
| 1336386051 | Judy A Williams | Speech-Language Pathologist | 368 Tioga Avenue, Kingston, PA 18612 | 2009-01-16 |
| 1013195015 | Joseph John Kowalski | Psychiatry & Neurology | 2 Birch Hill Lane, Dallas, PA 18612 | 2008-02-01 |
| 1063621233 | Back Mountain Pediatrics | Clinical Medical Laboratory | 550 Memorial Highway, Dallas, PA 18612 | 2007-05-22 |
| 1760699177 | Leonard M Evans | Internal Medicine | 1806 Country Club Apartments, Dallas, PA 18612 | 2007-05-16 |
| 1417170549 | Clem-mar House, Inc. | Substance Abuse Rehabilitation Facility | 2860 State Route 309, Dallas, PA 18612 | 2007-04-10 |
| Find all providers in zip 18612 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1144798083 | Body Lounge Park Cities | Clinic/Center | 6805 Hillcrest Ave Ste 208, Dallas, TX 75205-1381 | 2018-11-08 |
| 1811233851 | Best Service Pain & Rehabilitation Center of Dallas, Pa | Clinic/Center | 5510 Abrams Rd Ste 112, Dallas, TX 75214-2000 | 2012-12-19 |
| 1922286178 | Autistic Treatment Center, Inc. | Clinic/Center | 10610 Metric Dr, 101, Dallas, TX 75243-5541 | 2008-02-08 |
| 1043418205 | University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 6011 Harry Hines Blvd, Dallas, TX 75235 | 2007-07-10 |
| 1013042035 | Associated Rehabilitation Services, Inc. | Clinic/Center | 9535 Forest Ln, Suite 212, Dallas, TX 75243-5900 | 2007-02-22 |
| 1093865081 | Rehab 2112, LLC | Clinic/Center | 718 N Buckner Blvd Ste 138, Dallas, TX 75218-2764 | 2007-01-11 |
| 1821189150 | Select Physical Therapy Holdings Inc | Clinic/Center | 11617 N Central Expressway Ste 140, Dallas, TN 75243 | 2006-09-28 |
| 1982718987 | Back Icu Pllc | Clinic/Center | 10534 Garland Rd Ste A, Dallas, TX 75218-2637 | 2006-08-18 |
| 1932163243 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 3107 W Camp Wisdom Rd, Ste 131, Dallas, TX 75237-2600 | 2006-04-13 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on GENESIS ELDERCARE REHABILITATION SERVICES, INC.
| 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.