GENESIS (NPI# 1386872885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386872885 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Other Organization Name | GENESIS |
| Practice Address |
124 Schuylkill Ave Shenandoah PA 17976-1337 |
| Practice Telephone | 5704620345 |
| Mailing Telephone | 5704620345 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | MRS. KATHLEEN EILEEN BEACHER I (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 5706243228 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TEI000175 | PA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesis | Former Legal Business Name - Organization |
| 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 |
124 SCHUYLKILL AVE |
| City | SHENANDOAH |
| State | PA |
| Zip Code | 17976-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063561041 | Main Street Medical Center Inc | Internal Medicine | 24 South Main Street, Shenandoah, PA 17976 | 2007-01-09 |
| 1518417690 | Eric E. Petterson P.C. | Internal Medicine | 1 S Main St, Shenandoah, PA 17976 | 2016-10-12 |
| 1770875940 | Patricia Ce Domin-shorten | Pharmacist | 42 Main Street, Rite Aid Pharmacy, Shenandoah, PA 17976 | 2011-05-06 |
| 1962603605 | Alexine M Rajnic | Speech-Language Pathologist | 101 E Washington St, Shenandoah Manor Nursing Home, Shenandoah, PA 17976 | 2007-05-30 |
| 1003296997 | Sherley Vasquez | Physical Therapist | 201 Swatara Rd, Shenandoah, PA 17976-1232 | 2015-06-04 |
| 1730139460 | Trinity Mission of Shenandoah Heights, LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2006-05-11 |
| 1902404569 | Shenandoah Heights Healthcare LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2020-10-15 |
| 1215579925 | Morgan Rae Aulenbach | Physical Therapist | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2019-10-14 |
| 1033665930 | Logan J. Zeitler | Occupational Therapist | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-08-30 |
| 1124484241 | Ridgeview Operations LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-01-05 |
| Find all providers in zip 17976 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730139460 | Trinity Mission of Shenandoah Heights, LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2006-05-11 |
| 1780664789 | Garden View Care Center, Inc. | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-01-18 |
| 1497757710 | Smnrc, Lp | Skilled Nursing Facility | 101 E Washington St, Shenandoah, PA 17976-1701 | 2005-06-01 |
| 1902404569 | Shenandoah Heights Healthcare LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2020-10-15 |
| 1629695416 | Accura Healthcare of Shenandoah | Skilled Nursing Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2020-06-29 |
| 1184080889 | Premier Estates 509, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2016-01-11 |
| 1124484241 | Ridgeview Operations LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-01-05 |
| 1740588094 | Ridgeview Healthcare & Rehab Center LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2011-03-10 |
| 1215264726 | Shenandoah Care Center, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-11-05 |
| 1891934683 | Elizabeth Anne Busekist Lord Feil | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-02-18 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 17976 |
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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.