GENESIS (NPI# 1801211701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801211701 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
934 S Fayette St Beckley WV 25801-6549 |
| Practice Telephone | 3042376771 |
| Mailing Telephone | 3042376771 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |
| Authorized Official Name | REBEKAH DARLENE BROWN (COTA) |
| Authorized Official Telephone | 3042376771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | C1733 | WV | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023468071 | Genesis | Clinic/Center | 2098 Henderson Way, Lodi, CA 95242-4814 | 2016-06-20 |
| 1588027130 | Genesis | Rehabilitation Hospital | 2266 Biers Run Rd, Chillicothe, OH 45601-9039 | 2016-03-31 |
| 1407213267 | Genesis | Assisted Living Facility | 20 Pelican Dr, Bayville, NJ 08721-1605 | 2016-01-25 |
| 1518357763 | Genesis | Skilled Nursing Facility | 1313 Orange Ave, Santa Ana, CA 92707-1323 | 2015-01-27 |
| 1932501988 | Genesis | Skilled Nursing Facility | 505 Canon Ave, Apt 2, Manitou Springs, CO 80829-2947 | 2014-09-22 |
| 1164847505 | Genesis | Skilled Nursing Facility | 31 W Cherry St, Box 875, Rising Sun, MD 21911-1781 | 2014-02-21 |
| 1407271851 | Genesis | Skilled Nursing Facility | 916 Greenwood Cir, Coatesville, PA 19320-2133 | 2014-02-21 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1629336359 | Genesis | Nursing Facility/Intermediate Care Facility | 5214 Goshawk Dr, Milton, FL 32570-5020 | 2012-05-01 |
| 1750647350 | Genesis | Skilled Nursing Facility | 931 Baldwin Ave, Negaunee, MI 49866-1064 | 2012-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GENESIS | 15 S 11th, Richmond, IN 47374-5515 |
| Colorado Business Entities | GENESIS | 15621 E Broncos Pl, Englewood, CO 80112 |
| Oregon Corporations, Companies and Business Names | GENESIS | 7561 Crater Lake Hwy Unit C-1, White City, OR 97503 |
| Colorado Business Entities | GENESIS ELECTRONICS RECYCLING | 2045 S Valentia St, Unit 14, Denver, CO 80231 |
| New York State Corporations | GENESIS #1 WEST INDIAN - AMERICAN RESTAURANT INC | 162-23 Hillside Ave, Jamaica, Ny 11432 |
| New York State Corporations | GENESIS & ALIYAH DISTRIBUTORS, INC. | 219 Claremont Ave., 1st Fl., Mt. Vernon, New York 10552 |
| New York State Corporations | GENESIS & D CLEANING SERVICES LLC | 735 Pelham Parkway North, Apt 4s, Bronx, Ny 10467 |
| New York State Corporations | GENESIS & NICOLE CORP. | 2355 Middle Country Rd., Centereach, New York 11720 |
| Connecticut Business Registrations | GENESIS "COLLEGE IS A MUST" FOUNDATION, INC. | 15 Lewis Street, Suite 302, Hartford, CT 06103 |
| Iowa Business Entities | GENESIS - LAND YOUR FUTURE LLC | 2956 D Ave., Montour, IA 50173 |
| Street Address |
934 S FAYETTE ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049175 | Devonshire Al Operations, LLC | Assisted Living Facility | 5 Bexley Dr, Scott Depot, WV 25560-4504 | 2020-09-24 |
| 1073099073 | Greenwich Investors Cedar Grove Operator LLC | Assisted Living Facility | 110 Nicolette Rd, Parkersburg, WV 26104-7241 | 2018-07-13 |
| 1225526650 | Jonathan and Blessing LLC | Assisted Living Facility | 5312 Morning Dove Ln, Charleston, WV 25313-1154 | 2018-05-01 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1538427075 | Windy Hill Village | Assisted Living Facility | 17024 Veterans Memorial Hwy, Kingwood, WV 26537-8013 | 2012-05-02 |
| 1790069656 | Grayson Assisted Living Facility | Assisted Living Facility | 25 Old Trl, 3455 St Rt 75, Huntington, WV 25704-9281 | 2011-10-10 |
| 1164620902 | Braley Care Homes Inc | Assisted Living Facility | 2619 Knox Ave, Saint Albans, WV 25177-2130 | 2007-07-03 |
| 1730301870 | Maplewood | Assisted Living Facility | 1000 South Maplewood Drive, Bridgeport, WV 26330 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
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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.