GENESIS ELDERCARE REHABILITATION SERVICES LLC (NPI# 1316360399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316360399 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE REHABILITATION SERVICES LLC |
| Practice Address |
9401 Old Sauk Rd C/o The Jefferson Middleton WI 53562-4409 |
| Mailing Address |
101 E State St C/o Amy Nunemaker Kennett Square PA 19348-3109 |
| Practice Telephone | 6082038102 |
| Mailing Telephone | 6109254560 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | LOUISE ANN SOIKA (SVP) |
| 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 |
| 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 |
9401 OLD SAUK RD C/O THE JEFFERSON |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851450282 | Karen Ann Kohls | Physical Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2006-12-08 |
| 1528533502 | Emily Jo Alcott | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2018-10-05 |
| 1063874188 | Kelsey Leigh Kornaus | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2016-03-28 |
| 1376905042 | Sara Roberts | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2016-03-22 |
| 1447626692 | Andrea Mysliwiec | Physical Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2015-08-11 |
| 1023490422 | Megan K Carlson | Speech-Language Pathologist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2015-06-22 |
| 1295136695 | Hannah Meredith | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2014-09-05 |
| 1013257997 | Katie A. Wodziak | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2013-02-28 |
| 1720388853 | Nicole Leigh Eiler | Physical Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2010-10-22 |
| 1942521521 | Maureen Ann Erickson | Occupational Therapist | 9401 Old Sauk Rd, Middleton, WI 53562-4409 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1508409293 | Boost Home Health LLC | Clinic/Center | 1198 121st Ave, New Richmond, WI 54017-7158 | 2019-10-24 |
| 1912481185 | Visiting Nurse Community Care, Inc. | Clinic/Center | 600 52nd St Ste 300, Kenosha, WI 53140-3423 | 2018-09-24 |
| 1790270932 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 533 E Calumet St, Chilton, WI 53014-1649 | 2018-06-29 |
| 1225548316 | Thrive Learning Center, LLP | Clinic/Center | N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 | 2017-10-03 |
| 1720431877 | Milwaukee Center for Independence | Clinic/Center | 6100 N Baker Rd, Glendale, WI 53209-3704 | 2016-07-13 |
| 1518334986 | Physiotherapy Associates Inc | Clinic/Center | 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 | 2015-09-01 |
| 1417367509 | Specialized Therapy Services LLC | Clinic/Center | 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 | 2014-04-29 |
| 1710300173 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 | 2014-01-21 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
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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.