GENESIS REHAB SERVICES (NPI# 1114327798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114327798 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB SERVICES |
| Practice Address |
3802 Klondike Ln Louisville KY 40218-1715 |
| Practice Telephone | 5024514108 |
| Mailing Telephone | 5024521579 |
| Mailing Fax Number | 5024519310 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | MRS. CAROLYN LOUISE LAWSON (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5024521579 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 004430 | KY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396119772 | Genesis Rehab Services | Skilled Nursing Facility | 32 Regal Pl, Winter Garden, FL 34787-2333 | 2015-11-22 |
| 1538539754 | Genesis Rehab Services | Skilled Nursing Facility | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2015-09-30 |
| 1053780106 | Genesis Rehab Services | Rehabilitation Hospital | 146 County Road 5720, Castroville, TX 78009-2104 | 2015-09-18 |
| 1174990790 | Genesis Rehab Services | Skilled Nursing Facility | 404 Chase Ct, Edgewater, NJ 07020-1609 | 2015-08-31 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1629460761 | Genesis Rehab Services | Assisted Living Facility | 1120 West Donegan Ave., Keystone Rehab Center, Kissimmee, FL 34741 | 2015-02-26 |
| 1326438185 | Genesis Rehab Services | Skilled Nursing Facility | 290 Bark St, Swansea, MA 02777-4818 | 2015-02-02 |
| 1639569452 | Genesis Rehab Services | Skilled Nursing Facility | 4921 Calabash Tree Ct, Las Vegas, NV 89148-1686 | 2015-02-01 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GENESIS REHAB SERVICES LLC | 9430 Wicker Ave, Saint John, IN 46373 |
| Street Address |
3802 KLONDIKE LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710221221 | Jamie Denise Shake | Physical Therapist | 3802 Klondike Ln, Louisville, KY 40218-1715 | 2012-11-21 |
| 1295276178 | Genesis Rehab Services | Skilled Nursing Facility | 3802 Klondike Ln, Louisville, KY 40218-1715 | 2017-03-13 |
| 1841535671 | Sherry Roberts | Physical Therapy Assistant | 3802 Klondike Ln, Louisville, KY 40218 | 2012-12-05 |
| 1073857314 | Toya L Trumbo | Occupational Therapy Assistant | 3802 Klondike Ln, Louisville, KY 40218-1715 | 2012-11-26 |
| 1285978635 | Julie Ann Stevens | Occupational Therapist | 3802 Klondike Ln, Louisville, KY 40218-1715 | 2012-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| 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 |
|---|---|---|---|---|
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1225405475 | Blount County Snf Operations, LLC | Skilled Nursing Facility | 1965 Stewart Lane, Louisville, TN 37777 | 2015-08-24 |
| 1952788408 | Bridgett Powers Mattingly | Skilled Nursing Facility | 117 Weisser Ave, Louisville, KY 40206-2761 | 2015-05-05 |
| 1235527300 | Trilogy Healthcare of Louisville Northeast, LLC | Skilled Nursing Facility | 4120 Wooded Acre Ln, Louisville, KY 40245-2938 | 2014-12-24 |
| 1215330345 | Jonathan Kratzwald | Skilled Nursing Facility | 8206 Happiness Way, Louisville, KY 40291-2865 | 2014-10-03 |
| 1043659626 | Niraj Mathur | Skilled Nursing Facility | 4209 Bridlepath Pl, Louisville, KY 40245-1971 | 2013-06-18 |
| 1235574161 | Balfour Retirement Community of Boulder County | Skilled Nursing Facility | 1855 Plaza Dr., Louisville, CO 80027 | 2013-05-06 |
| 1164703955 | Christian Health Center - West, Inc. | Skilled Nursing Facility | 1015 Magazine St, Louisville, KY 40203-2017 | 2011-09-07 |
| 1801193560 | Trilogy Healthcare of Louisville East, LLC | Skilled Nursing Facility | 4247 Westport Rd, Louisville, KY 40207-2227 | 2011-02-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.