GENESIS ELDERCARE REHABILITATION SERVICES LLC (NPI# 1275146649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275146649 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| Practice Address |
3715 Union Chapel Rd Fort Wayne IN 46845-7400 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 2602644565 |
| Mailing Telephone | 8007288808 |
| Mailing Fax Number | 6103474147 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | LOUISE ANN SOIKA (CHIEF STRATEGIC ADMIN OFFICER) |
| Authorized Official Telephone | 6109254088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesis Rehabilitation Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| 1710426499 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 213 Ana Dr, Florence, AL 35630-1768 | 2017-02-15 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| 1043663297 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3450 Wimbledon Dr, C/o Summer Vista Assisted Living, Pensacola, FL 32504-4506 | 2016-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Genesis ElderCare Rehabilitation Services LLC | 101 E State Street, Kennett Square, Pennsylvania 19348 |
| Street Address |
3715 UNION CHAPEL RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427093814 | Integrity Physical Therapy Inc | Clinic/Center | 3840 New Vision Dr, Fort Wayne, IN 46845-1708 | 2006-06-18 |
| 1326217332 | Pro-kids Therapy Center PC | Clinic/Center | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2008-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311328 | Rci (wrs), LLC. | Clinic/Center | 12788 State Road 23, Granger, IN 46530-7893 | 2020-09-21 |
| 1598371916 | Rci (wrs), LLC. | Clinic/Center | 860 Stillwater Pkwy, Crown Point, IN 46307-5360 | 2020-09-21 |
| 1619583044 | Rci (wrs), LLC. | Clinic/Center | 303 S Main St Ste 215, Mishawaka, IN 46544-2160 | 2020-09-21 |
| 1417563834 | Rci (wrs), LLC. | Clinic/Center | 2300 Cline Ave Ste 203, Schererville, IN 46375-2580 | 2020-09-21 |
| 1194331512 | Rci (wrs), LLC. | Clinic/Center | 9150 E 109th Ave Ste 1d, Crown Point, IN 46307-7687 | 2020-09-21 |
| 1710593132 | Rci (wrs), LLC. | Clinic/Center | 401 15th St Se Ste 11-12, Demotte, IN 46310-9043 | 2020-09-21 |
| 1578179990 | Rci (wrs), LLC. | Clinic/Center | 1900 S Heaton St # 110112, Knox, IN 46534-2324 | 2020-09-21 |
| 1245860196 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3316 E Market St, Logansport, IN 46947-2296 | 2020-01-20 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1750948261 | Select Medical Rehabilitation Clinics, Inc. | Clinic/Center | 401 15th St Se Ste 12, Demotte, IN 46310-9379 | 2019-05-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on GENESIS ELDERCARE REHABILITATION SERVICES LLC.
| 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.