GENESIS HEALTHCARE CENTER, INC (NPI# 1083935746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083935746 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTHCARE CENTER, INC |
| Other Organization Name | GENESIS HEALTHCARE CENTER |
| Practice Address |
1201 Walnut Ave Long Beach CA 90813-3822 |
| Practice Telephone | 5625917621 |
| Practice Fax Number | 5625913292 |
| Mailing Telephone | 5625917621 |
| Mailing Fax Number | 5625913292 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | MR. RANDY L HENRY (PRESIDENT) |
| Authorized Official Telephone | 8188881616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 940000173 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | 940000173 | 01 |
| Other Name | Type Code |
|---|---|
| genesis healthcare center | Doing Business As Name - Organization |
| Street Address |
1201 WALNUT AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390693 | Long Beach Post Acute LLC | Skilled Nursing Facility | 1201 Walnut Ave, Long Beach, CA 90813-3822 | 2014-10-07 |
| 1396161261 | Gracevilla,inc | Skilled Nursing Facility | 1201 Walnut Ave, Long Beach, CA 90813-3822 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| 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 |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1447791959 | Retirement Housing Foundation | Skilled Nursing Facility | 911 N Studebaker Rd, Long Beach, CA 90815-4900 | 2017-03-16 |
| 1063877223 | Sincerity Homes, LLC | Skilled Nursing Facility | 2910 De Forest Ave, Long Beach, CA 90806-1405 | 2015-12-15 |
| 1487046900 | Hallmark Rehab | Skilled Nursing Facility | 1803 Termino Ave, #2402, Long Beach, CA 90815-2691 | 2015-02-19 |
| 1063800274 | Hallmark Rehab | Skilled Nursing Facility | 2401 Cedar Ave, Long Beach, CA 90807 | 2014-12-23 |
| 1356694483 | Ephesian Wellness Center, Inc | Skilled Nursing Facility | 723 E 9th St., Long Beach, CA 90813 | 2012-10-26 |
| 1245422187 | Ridgill Johnson Properties, Inc | Skilled Nursing Facility | 3557 Atlantic Avenue, Suite 188, Long Beach, CA 90807 | 2007-08-14 |
| 1720111479 | Park Avenue Operating Company LLC | Skilled Nursing Facility | 425 National Blvd, Long Beach, NY 11561-2031 | 2007-03-13 |
| 1053453902 | Covenant Care California, LLC | Skilled Nursing Facility | 2725 Pacific Avenue, Long Beach, CA 90806-2612 | 2007-02-13 |
| 1659424745 | Intercommunity Care Centers, Inc. | Skilled Nursing Facility | 2626 Grand Ave, Long Beach, CA 90815-1707 | 2007-01-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.