GENESIS HEALTHCARE (NPI# 1114386687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114386687 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTHCARE |
| Practice Address |
2142 E Whitworth St Hazlehurst MS 39083-9277 |
| Mailing Address |
2142 East Whitworth Street Hazlehurst MS 39083 |
| Practice Telephone | 6012788986 |
| Mailing Telephone | 6012788986 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | ROBERT BRADLEY WOODS (PHYSICAL THERAPY ASSISTANT) |
| Authorized Official Telephone | 6012788986 |
| Authorized Official Credential | LPTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4126 | MS | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 1124250444 | Genesis Healthcare | Community/Behavioral Health | 925 South St, Portsmouth, VA 23704-4125 | 2009-08-20 |
| 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 |
| Virginia Business Entities | Genesis HealthCare LLC | 101 E State St, Kennett Square, Pennsylvania 19348 |
| Massachusetts Corporations | GENESIS HEALTHCARE LLC | 101 E. State Street, Kennett Square, PA 19348 |
| New York State Corporations | GENESIS HEALTHCARE MANAGEMENT ALLIANCE, LLC | 69 Hitching Post Lane, Glen Cove, Ny 11542 |
| Street Address |
2142 E WHITWORTH ST |
| City | HAZLEHURST |
| State | MS |
| Zip Code | 39083-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1750898961 | Laquita L. Johnson | Pharmacist | 102 Williams Street, Hazlehurst, MS 39083 | 2018-01-09 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1053852392 | Alvin Dale Griffin | Occupational Therapy Assistant | 27190 Ms 28, Hazlehurst, MS 39083 | 2017-03-20 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1902976665 | Allred's Pharmacy Inc | Pharmacy | 214 West Gallatin St, Hazelhurst, MS 39083 | 2006-11-09 |
| 1891897260 | Fred J Mcdonnell | Family Medicine | 213 Caldwell Drive, Hazlehurst, MS 39083 | 2006-09-05 |
| 1770515058 | Central Mississippi Civic Improvement Association | Clinic/Center | 550 Caldwell Drive, Hazlehurst, MS 39083 | 2006-07-07 |
| 1881649168 | Isd Renal Inc | Clinic/Center | 201 N Haley St, Hazlehurst, MS 39083 | 2006-05-24 |
| 1396793188 | Hazlehurst Vision Clinic | Optometrist | 247 North Caldwell Dr., Suite B, Hazlehurst, MS 39083 | 2006-05-04 |
| Find all providers in zip 39083 | ||||
| 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 |
|---|---|---|---|---|
| 1891746889 | Sunbridge Jeff Davis Healthcare LLC | Skilled Nursing Facility | 180 Burketts Ferry Rd, Hazlehurst, GA 31539-7132 | 2006-05-13 |
| 1134116825 | Pinecrest LLC | Skilled Nursing Facility | 133 Pine St, Hazlehurst, MS 39083-2309 | 2005-09-29 |
| 1851837934 | Hz Snf LLC | Skilled Nursing Facility | 180 Burketts Ferry Rd, Hazlehurst, GA 31539-7132 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
| 1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
| 1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
| 1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
| 1952673162 | Ltc Solutions | Skilled Nursing Facility | 277 Cuba St, Holly Springs, MS 38635-2102 | 2012-02-02 |
| Find all providers with the same taxonomy | ||||
| City | HAZLEHURST |
| Zip Code | 39083 |
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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.