GENESIS REHABILITATION SERVICES (NPI# 1346579398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346579398 |
| Entity Type | Organization |
| Organization Name | GENESIS REHABILITATION SERVICES |
| Practice Address |
7120 N Sheridan Rd # 201 Chicago IL 60626-2900 |
| Practice Telephone | 7736794006 |
| Mailing Telephone | 7736794006 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | TINNA MARIE R. BOLONGAN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7736794006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 070015702 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285033779 | Genesis Rehabilitation Services | Clinic/Center | 7 Wilson St, Skowhegan, ME 04976-2022 | 2014-08-20 |
| 1861647109 | Genesis Rehabilitation Services | Nursing Care | 7260-2 Greenboro Dr, West Melbourne, FL 32904 | 2008-12-01 |
| 1467575183 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4 Peabody St, Tilton, NH 03276-5407 | 2007-04-09 |
| 1952333114 | Genesis Rehabilitation Services | Physical Therapist | 7802 North 43rd Avenue, Suite 3, Glendale, AZ 85301 | 2006-07-07 |
| 1619317930 | Genesis Rehabilitation Services | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2013-07-01 |
| 1053757559 | Genesis Rehabilitation Services | Skilled Nursing Facility | 120 Lakes At Litchfield Dr, Pawleys Island, SC 29585-5502 | 2013-05-12 |
| 1275891012 | Genesis Rehabilitation Services | Skilled Nursing Facility | 1715 Ellington Rd, South Windsor, CT 06074-2707 | 2012-04-30 |
| 1306103692 | Genesis Rehabilitation Services | Assisted Living Facility | 3400 Se Aster Ln, Stuart, FL 34994-5516 | 2012-04-12 |
| 1639436850 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4307 Bridgetown Rd, Cincinnati, OH 45211-4427 | 2012-04-12 |
| 1205103264 | Genesis Rehabilitation Services | Nursing Facility/Intermediate Care Facility | 1245 Church Rd, Wyncote, PA 19095-1800 | 2011-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | GENESIS REHABILITATION SERVICES | 148 College St, Burlington, VT 05401 |
| Street Address |
7120 N SHERIDAN RD # 201 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60626-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116390 | Rebecca Powers | Physical Therapist | 1214 West Loyola Court, Chicago, IL 60626 | 2020-08-25 |
| 1699307918 | Trilogy, Inc. | Clinic/Center | 1763 W. Estes Avenue, Chicago, IL 60626 | 2020-02-05 |
| 1134617236 | Trilogy Inc. | Community/Behavioral Health | 7474 N Paulina St, Chicago, IL 60626 | 2018-04-25 |
| 1891203477 | Natalie Cerda | Specialist/Technologist | 6526 North Winthrop, Chicago, IL 60626 | 2018-01-17 |
| 1841709136 | Jennifer Browse | Speech-Language Pathologist | 7101 N. Greenview, Chicago, IL 60626 | 2017-09-29 |
| 1922526292 | Bill Johnson | Psychologist | 1712 W Estes Avenue Unit 109, Chicago, IL 60626 | 2017-09-06 |
| 1326580333 | Zackary Charles Davis | Specialist/Technologist | 6526 N. Winthrop Avenue, Chicago, IL 60626 | 2016-11-08 |
| 1053772913 | Devon Migues | Counselor | 6710 N Hermitage Ave, 1, Chicago, IL 60626 | 2016-03-18 |
| 1457718124 | Carol L. Marshall | Social Worker | 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 | 2016-01-26 |
| 1972948206 | Donna Darcell Smith | Counselor | 1401 West Jarvis Ave., #2e, Chicago, IL 60626 | 2013-04-30 |
| Find all providers in zip 60626 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1851849269 | Alden Courts of Waterford, L.L.C. | Assisted Living Facility | 4200 W. Peterson Ave. Suite 140, Chicago, IL 60646-6074 | 2016-09-14 |
| 1740635663 | Friend Family Health Center, Inc | Assisted Living Facility | 6134 S Cottage Grove Ave, Chicago, IL 60637 | 2016-04-28 |
| 1760851364 | Goldblatts of Chicago Limited Partnership | Assisted Living Facility | 4707 S Marshfield Ave, Chicago, IL 60609-4159 | 2015-09-24 |
| 1982900445 | Covenant Home of Chicago | Assisted Living Facility | 2720 West Foster Avenue, Chicago, IL 60625-3510 | 2011-02-01 |
| 1215269071 | Renaissance Saint Luke Slf Lp | Assisted Living Facility | 1501 W Melrose St, Chicago, IL 60657-9083 | 2010-02-04 |
| 1992946214 | Victory Centre of South Chicago LLC | Assisted Living Facility | 3251 E 92nd St, Chicago, IL 60617-4660 | 2009-03-17 |
| 1861638181 | Victory Centre of Galewood LLC | Assisted Living Facility | 2370 N Newcastle Ave, Chicago, IL 60707-2955 | 2008-12-17 |
| 1487803938 | Cortland Manor LLC | Assisted Living Facility | 1900 N. Karlov Ave., Chicago, IL 60639 | 2008-09-09 |
| Find all providers in CHICAGO | ||||
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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.