GENESIS REHAB SERVICES (NPI# 1255611794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255611794 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB SERVICES |
| Practice Address |
115 Old Short Hills Rd Apartment 254 West Orange NJ 07052-1009 |
| Mailing Address |
115 Old Short Hills Rd Apt. 254 West Orange NJ 07052-1009 |
| Practice Telephone | 9736695658 |
| Mailing Telephone | 9736695658 |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |
| Authorized Official Name | MRS. CHANEL KATRECE PORTER-LAGRIER (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 9732200880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 40QB00278900 | NJ | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396119772 | Genesis Rehab Services | Skilled Nursing Facility | 32 Regal Pl, Winter Garden, FL 34787-2333 | 2015-11-22 |
| 1538539754 | Genesis Rehab Services | Skilled Nursing Facility | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2015-09-30 |
| 1053780106 | Genesis Rehab Services | Rehabilitation Hospital | 146 County Road 5720, Castroville, TX 78009-2104 | 2015-09-18 |
| 1174990790 | Genesis Rehab Services | Skilled Nursing Facility | 404 Chase Ct, Edgewater, NJ 07020-1609 | 2015-08-31 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1629460761 | Genesis Rehab Services | Assisted Living Facility | 1120 West Donegan Ave., Keystone Rehab Center, Kissimmee, FL 34741 | 2015-02-26 |
| 1326438185 | Genesis Rehab Services | Skilled Nursing Facility | 290 Bark St, Swansea, MA 02777-4818 | 2015-02-02 |
| 1639569452 | Genesis Rehab Services | Skilled Nursing Facility | 4921 Calabash Tree Ct, Las Vegas, NV 89148-1686 | 2015-02-01 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GENESIS REHAB SERVICES LLC | 9430 Wicker Ave, Saint John, IN 46373 |
| Street Address |
115 OLD SHORT HILLS RD APARTMENT 254 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144415902 | Laura Fisher Sabban | Dietitian, Registered | 115 Old Short Hills Rd, Apt. 289, West Orange, NJ 07052-1009 | 2007-09-13 |
| 1922521418 | Sneha Gregory Basker | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Rd, West Orange, NJ 07052-1009 | 2017-07-17 |
| 1215473640 | Olukayode Akinkunle | Registered Nurse | 115 Old Short Hills Rd, 419, West Orange, NJ 07052-1009 | 2017-01-09 |
| 1265759096 | Chaman Preet Singh Chahal | Psychiatry & Neurology | 115 Old Short Hills Rd, Apt 262, West Orange, NJ 07052-1009 | 2010-05-04 |
| 1629202247 | Melanie Antonietta Brown | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Rd, Apt 489, West Orange, NJ 07052-1009 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1841783008 | Csh Norwood Licensee, LLC | Alzheimer Center (Dementia Center) | 545 Tappan Rd, Norwood, NJ 07648-1226 | 2018-06-12 |
| 1174057764 | Shi-ii Hillsborough, LLC | Alzheimer Center (Dementia Center) | 351 Route 206, Hillsborough, NJ 08844-4651 | 2017-04-20 |
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1568812147 | Brightview Tenafly, LLC | Alzheimer Center (Dementia Center) | 55 Hudson Avenue, Tenafly, NJ 07670 | 2016-06-15 |
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.