GENESIS REHAB (NPI# 1417228875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417228875 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB |
| Practice Address |
1111 Drury Ln Englewood FL 34224-4545 |
| Practice Telephone | 9414749371 |
| Mailing Telephone | 9414749371 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | MS. TARA CAMERON (COTA) |
| Authorized Official Telephone | 9414216956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OTA 11900 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440403 | Genesis Rehab | Skilled Nursing Facility | 1691 Yale Pl, Rockville, MD 20850-1115 | 2015-02-27 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1619315884 | Genesis Rehab | Skilled Nursing Facility | 520 E 103rd St, Cleveland, OH 44108-1330 | 2013-06-11 |
| 1144561473 | Genesis Rehab | Clinic/Center | 4970 N. Kay St., Palm Bch. Gardens, FL 33418 | 2013-03-12 |
| 1407190283 | Genesis Rehab | Nursing Facility/Intermediate Care Facility | 314 Palmway Ln, Orlando, FL 32828-8518 | 2012-11-19 |
| 1952698649 | Genesis Rehab | Skilled Nursing Facility | 18 Frank Pressley Dr., Due West, SC 29639-5259 | 2011-07-01 |
| 1225341589 | Genesis Rehab | Case Management | 731 Polo Road, Wildewood Downs, Columbia, SC 29223 | 2010-07-15 |
| 1669783171 | Genesis Rehab | Skilled Nursing Facility | 2511 Bently Road, Salem, OH 44460 | 2010-06-30 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1770725137 | Genesis Rehab | Residential Treatment Facility, Physical Disabilities | 5133 Majestic Woods Place, Sanford, FL 32771 | 2009-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GENESIS REHAB PHYSICAL THERAPY P.C. | 99 Hillside Ave, Suite W, Williston Park, Ny 11596 |
| Indiana Business Entities | GENESIS REHAB SERVICES LLC | 9430 Wicker Ave, Saint John, IN 46373 |
| Vermont Business Registrations | GENESIS REHABILITATION SERVICES | 148 College St, Burlington, VT 05401 |
| Street Address |
1111 DRURY LN |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34224-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427003896 | Englewood Health Care Associates LLC | Skilled Nursing Facility | 1111 Drury Ln, Englewood, FL 34224-4545 | 2006-05-24 |
| 1114415734 | Susan K Briggs | Physical Therapy Assistant | 1111 Drury Ln, Englewood, FL 34224-4545 | 2018-04-30 |
| 1811496326 | Justin Jamison | Occupational Therapist | 1111 Drury Ln, Englewood, FL 34224-4545 | 2018-02-10 |
| 1457897746 | Dannimarie Comeau | Occupational Therapy Assistant | 1111 Drury Ln, Englewood, FL 34224-4545 | 2017-01-11 |
| 1952773228 | Catalina Hill | Occupational Therapy Assistant | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-10-27 |
| 1952773194 | Jennifer Lalaine Uyam | Physical Therapist | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-10-27 |
| 1376915124 | Agnes Silva | Skilled Nursing Facility | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-10-20 |
| 1467845883 | Amber Fulton | Occupational Therapy Assistant | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-03-10 |
| 1225421993 | Patricia Testa | Registered Nurse | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-03-05 |
| 1033509682 | Bhashini Nagalla | Physical Therapist | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373471 | Tammy A Usher | Counselor | 7069 Peacock Ln, Englewood, FL 34224 | 2018-04-09 |
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1518521327 | Ashley Nicole Schmittendorf | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224 | 2019-04-26 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1811164288 | Bybiana Obrar Tagle | Physical Therapist | 1820 Meadowlark Ln, Englewood, FL 34224 | 2008-05-14 |
| 1114044831 | Beacon Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 2828 S Mccall Rd, Suite 26, Englewood, FL 34224 | 2007-03-26 |
| 1508925918 | Fashions for Health | Prosthetic/Orthotic Supplier | 2828 S Mccall Rd, Ste 26, Englewood, FL 34224 | 2006-12-08 |
| 1699729616 | Tiffany Square Family Practice P A | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224 | 2006-05-22 |
| 1801280532 | Rod Chandler Fuller | Pharmacist | 4100 Mccall Rd, Englewood, FL 34224-2933 | 2015-03-19 |
| Find all providers in zip 34224 | ||||
| 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 |
|---|---|---|---|---|
| 1366827941 | Pristine Senior Living of Englewood, LLC | Skilled Nursing Facility | 425 Lauricella Court, Englewood, OH 45322-0340 | 2015-07-24 |
| 1629304399 | Trilogy Healthcare of Montgomery LLC | Skilled Nursing Facility | 600 West National Road, Englewood, OH 45322-1162 | 2009-10-30 |
| 1336269299 | Ssc Englewood Operating Company LLC | Skilled Nursing Facility | 3636 S Pearl St, Englewood, CO 80113-3806 | 2007-04-01 |
| 1427003896 | Englewood Health Care Associates LLC | Skilled Nursing Facility | 1111 Drury Ln, Englewood, FL 34224-4545 | 2006-05-24 |
| 1386623189 | American Housing Foundation I | Skilled Nursing Facility | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2006-01-11 |
| 1033100698 | Grace Brethren Village Inc. | Skilled Nursing Facility | 1010 Taywood Rd, Englewood, OH 45322-2400 | 2005-11-02 |
| 1699262253 | Ct Ohio Englewood LLC | Skilled Nursing Facility | 425 Lauricella Court, Englewood, OH 45322 | 2018-04-19 |
| 1376915124 | Agnes Silva | Skilled Nursing Facility | 1111 Drury Ln, Englewood, FL 34224-4545 | 2015-10-20 |
| 1346654886 | Englewood Meridian Lp | Skilled Nursing Facility | 3455 S Corona St, Englewood, CO 80113-2810 | 2014-06-12 |
| 1407274517 | Cherry Hills Healthcare, Inc. | Skilled Nursing Facility | 3575 S Washington St, Englewood, CO 80113-3807 | 2014-04-04 |
| Find all providers in ENGLEWOOD | ||||
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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.