GENESIS HEALTHCARE (NPI# 1164876074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164876074 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTHCARE |
| Practice Address |
8100 Palomas Ave Ne Albuquerque NM 87109-5264 |
| Practice Telephone | 5058214200 |
| Practice Fax Number | 5058220234 |
| Mailing Telephone | 5058214200 |
| Mailing Fax Number | 5058220234 |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |
| Authorized Official Name | MR. MICHAEL GLADE (THERAPY MANAGER) |
| Authorized Official Telephone | 5058214200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 2504 | NM | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1134660608 | Genesis Healthcare | Skilled Nursing Facility | 562 Rt 47 N, Cape May Court House, NJ 08210 | 2017-03-16 |
| 1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
| 1679930440 | Genesis Healthcare | Skilled Nursing Facility | 19948 State Route 93, Wellston, OH 45692-9048 | 2016-01-25 |
| 1013300532 | Genesis Healthcare | Skilled Nursing Facility | 5165 Crane Ave, Castro Valley, CA 94546-2529 | 2015-03-08 |
| 1750784161 | Genesis Healthcare | Clinic/Center | 4380 N Main St, Fall River, MA 02720-1711 | 2014-09-29 |
| 1558785261 | Genesis Healthcare | Skilled Nursing Facility | 1888 Edge Hill Rd, Abington, PA 19001-1214 | 2014-02-17 |
| 1104251446 | Genesis Healthcare | Skilled Nursing Facility | 3025 33rd St S Apt 3, La Crosse, WI 54601-7777 | 2013-09-05 |
| 1184916686 | Genesis Healthcare | Skilled Nursing Facility | 20 Summit Str, West Orange, NJ 07052 | 2011-05-03 |
| 1104138924 | Genesis Healthcare | Skilled Nursing Facility | 1522 Brookline Blvd, Pittsburgh, PA 15226-1914 | 2010-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | GENESIS HEALTHCARE | Monty, P O Box 50076, Midwest City, OK 73140 |
| Colorado Business Entities | Genesis Healthcare & Nutrition Products, LLC | 1900 W. Littleton Blvd., Littleton, CO 80120 |
| New York State Corporations | GENESIS HEALTHCARE BUSINESS CONSULTANTS INC. | 165 Bronx River Road, Yonkers, Ny 10704 |
| Connecticut Business Registrations | Genesis Healthcare Holding Company I, Inc. | 4500 Dorr Street, Toledo, OH 43615 |
| Massachusetts Corporations | GENESIS HEALTHCARE INNOVATIONS, INC. | 57 Athens Dr., Lowell, MA 01054 |
| Vermont Business Registrations | GENESIS HEALTHCARE LLC | 101 E State St, Kennet Square, PA 19348 |
| Washington State Corporations | GENESIS HEALTHCARE LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
| New York State Corporations | GENESIS HEALTHCARE MANAGEMENT ALLIANCE, LLC | 69 Hitching Post Lane, Glen Cove, Ny 11542 |
| Massachusetts Corporations | GENESIS HEALTHCARE MANAGEMENT GROUP LLC | 39 Brighton Avenue Suite 2, Alston, MA 02134 |
| New York State Corporations | GENESIS HEALTHCARE MANAGEMENT SERVICES, LLC | 137 Field Street, Apt. 28, Corning, New York 14830 |
| Street Address |
8100 PALOMAS AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780639617 | Peak Medical New Mexico No. 3 LLC | Skilled Nursing Facility | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2006-05-22 |
| 1346735040 | Samantha Harris | Physical Therapy Assistant | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2018-06-25 |
| 1649715350 | Marianne Billiot | Physical Therapist | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2017-01-04 |
| 1396190005 | Bettina Jaramillo | Physical Therapist | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2016-05-01 |
| 1215381371 | Paul Higdon IIi | Specialist | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2016-04-14 |
| 1255785325 | Rebecca Dees | Physical Therapist | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2016-04-14 |
| 1790956878 | Valerie R Lano | Occupational Therapy Assistant | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2008-03-17 |
| 1770789539 | Marlo Forrest Strawitz | Occupational Therapist | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438313 | Ryan Paul Carrell | Rehabilitation Hospital | 1225 Sierra Larga Dr Ne, Albuquerque, NM 87112-6568 | 2007-01-05 |
| 1255795761 | Lovelace Medical Systems | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2016-04-11 |
| 1770965337 | Jacqueline Martin | Rehabilitation Hospital | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2015-06-19 |
| 1851687347 | Liliana Andrea German | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2011-06-22 |
| 1336393271 | Lovelace | Rehabilitation Hospital | 4600 Montgomery Blvd Ne, Albuquerque, NM 87109-1210 | 2008-11-05 |
| 1700042439 | Lovelace Health Systems LLC | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2008-08-01 |
| 1053488494 | Lovelace Health System, Inc. | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2006-11-29 |
| 1225001928 | Encompass Health Rehabilitation Hospital of Albuquerque, LLC | Rehabilitation Hospital | 7000 Jefferson St Ne, Albuquerque, NM 87109-4313 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1679573778 | San Juan Regional Rehabilitation Hospital, Inc. | Rehabilitation Hospital | 525 S. Schwartz, Farmington, NM 87401-5955 | 2005-07-29 |
| 1679578066 | Rehabilitation Hospital of Southern New Mexico, Inc | Rehabilitation Hospital | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-06-14 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.