GENESIS (NPI# 1316231160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316231160 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
613 Hammonds Ln Brooklyn Park MD 21225-3351 |
| Practice Telephone | 4103508514 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | MONIQUE PRICE (PROGRAM MANAGER) |
| Authorized Official Telephone | 4103508514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 225200000X | MD | 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 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 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 |
| 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 |
613 HAMMONDS LN |
| City | BROOKLYN PARK |
| State | MD |
| Zip Code | 21225-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550168 | Meridian Health, Inc. | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2006-05-31 |
| 1871947259 | 613 Hammonds Lane Operations LLC | Physical Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2016-04-21 |
| 1871986349 | Lisa Cugle | Physical Therapy Assistant | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2015-03-09 |
| 1265729271 | Rachael Megan Fleming | Occupational Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-06-29 |
| 1043506645 | Michael Louis Veid II | Occupational Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-06-22 |
| 1659664431 | Genesis Eldercare | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-26 |
| 1831482645 | Genesis Healthcare | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-26 |
| 1497048516 | Lisa Surell Armenti | Speech-Language Pathologist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-23 |
| 1639331515 | Regina Ann Puthen Purackal | Physical Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2008-07-01 |
| 1609058171 | 613 Hammonds Lane Operations LLC | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
| Find all providers in zip 21225 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003386780 | Post-acute Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 5009 Frankford Avenue, Baltimore, MD 21206-5353 | 2018-11-26 |
| 1215301973 | Premier Therapy Services | Nursing Facility/Intermediate Care Facility | 3203 University Blvd W Apt 22, Kensington, MD 20895-1817 | 2015-11-18 |
| 1114356516 | Metero Cars | Nursing Facility/Intermediate Care Facility | 7611 Riverdale Rd Apt 302, New Carrollton, MD 20784-3750 | 2013-11-06 |
| 1275882318 | Unique Qualities, LLC | Nursing Facility/Intermediate Care Facility | 7514 Martha St, District Heights, MD 20747-3621 | 2012-09-05 |
| 1598973448 | Linda L Powe | Nursing Facility/Intermediate Care Facility | 200 S Rock Glen Rd, Baltimore, MD 21229-3249 | 2007-05-21 |
| 1154449049 | Rainbow Adhc | Nursing Facility/Intermediate Care Facility | 8400 Helgerman Ct, Gaithersburg, MD 20877-4131 | 2007-03-27 |
| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1629013925 | Wicomico Nursing Home | Nursing Facility/Intermediate Care Facility | 900 Booth St, Salisbury, MD 21801-3006 | 2006-06-19 |
| 1245286368 | Villa Rosa Nursing Home | Nursing Facility/Intermediate Care Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 21225 |
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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.