GENESIS REHAB (NPI# 1225341589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225341589 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB |
| Practice Address |
731 Polo Road Wildewood Downs Columbia SC 29223 |
| Mailing Address |
120 Torreyglen Dr Lexington SC 29072-8057 |
| Practice Telephone | 8034469378 |
| Mailing Telephone | 8034636465 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | IAN FISH (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8034469378 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 799 | SC | Agencies |
| 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 |
| 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 |
| 1366974875 | Genesis Rehab | Skilled Nursing Facility | 1253 Hartford Tpke, Vernon, CT 06066-4560 | 2017-04-03 |
| 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 |
731 POLO ROAD WILDEWOOD DOWNS |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084970 | Mary L Fredrick | Nurse Practitioner | 731 Polo Road, Columbia, SC 29223 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528530847 | New Beginning Consulting Firm LLC | Case Management | 25 Braiden Manor Rd, Columbia, SC 29209-2189 | 2018-12-27 |
| 1255844619 | Lashonda Edwards | Case Management | 4920 Hard Scrabble Rd Apt 406, Columbia, SC 29229-9368 | 2017-11-08 |
| 1003364043 | Press for Hope Family Services | Case Management | 1340 N Brickyard Rd, Apt. 4232, Columbia, SC 29223-8015 | 2016-09-20 |
| 1487009437 | Presitge Management Group LLC | Case Management | 15 Long Glen Ct, Columbia, SC 29229-7742 | 2016-04-27 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1053703892 | Cl Seven, Inc. | Case Management | 906 Delverton Rd, Columbia, SC 29203-4306 | 2015-03-03 |
| 1396137766 | Building Families for Children, Inc. | Case Management | 7161 Columbia Gateway Dr Ste A, Columbia, MD 21046-2148 | 2015-02-23 |
| 1700296365 | Healthy Community, LLC | Case Management | 813 Hanley Ln, Columbia, KY 42728-1074 | 2014-05-05 |
| 1174947840 | Together We Can | Case Management | 1704 Ripplerock Rd, Columbia, SC 29210-6749 | 2014-02-14 |
| 1508296294 | Richland/lexington Disabilities and Special Needs Board | Case Management | 301 Greystone Blvd, Columbia, SC 29210-8006 | 2013-11-18 |
| Find all providers in COLUMBIA | ||||
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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.