GENESIS REHAB (NPI# 1386976942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386976942 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB |
| Practice Address |
175 Blueberry Ln Laconia NH 03246-2918 |
| Practice Telephone | 6035287036 |
| Mailing Telephone | 6035287036 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | BETHANNE LYNN PAGE (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 6036303576 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | P-0429 | NH | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440403 | Genesis Rehab | Skilled Nursing Facility | 1691 Yale Pl, Rockville, MD 20850-1115 | 2015-02-27 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1619315884 | Genesis Rehab | Skilled Nursing Facility | 520 E 103rd St, Cleveland, OH 44108-1330 | 2013-06-11 |
| 1144561473 | Genesis Rehab | Clinic/Center | 4970 N. Kay St., Palm Bch. Gardens, FL 33418 | 2013-03-12 |
| 1407190283 | Genesis Rehab | Nursing Facility/Intermediate Care Facility | 314 Palmway Ln, Orlando, FL 32828-8518 | 2012-11-19 |
| 1952698649 | Genesis Rehab | Skilled Nursing Facility | 18 Frank Pressley Dr., Due West, SC 29639-5259 | 2011-07-01 |
| 1225341589 | Genesis Rehab | Case Management | 731 Polo Road, Wildewood Downs, Columbia, SC 29223 | 2010-07-15 |
| 1669783171 | Genesis Rehab | Skilled Nursing Facility | 2511 Bently Road, Salem, OH 44460 | 2010-06-30 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1770725137 | Genesis Rehab | Residential Treatment Facility, Physical Disabilities | 5133 Majestic Woods Place, Sanford, FL 32771 | 2009-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GENESIS REHAB PHYSICAL THERAPY P.C. | 99 Hillside Ave, Suite W, Williston Park, Ny 11596 |
| Indiana Business Entities | GENESIS REHAB SERVICES LLC | 9430 Wicker Ave, Saint John, IN 46373 |
| Vermont Business Registrations | GENESIS REHABILITATION SERVICES | 148 College St, Burlington, VT 05401 |
| Street Address |
175 BLUEBERRY LN |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629010368 | Mckerley Health Care Centers, Inc. | Skilled Nursing Facility | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2006-06-10 |
| 1487261871 | Robert Paul Kelly | Physical Therapy Assistant | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2020-09-29 |
| 1811512940 | Allison M Finn | Speech-Language Pathologist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2020-06-15 |
| 1629610209 | Gregory N Leblond | Occupational Therapy Assistant | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2019-10-15 |
| 1326604968 | Kayla Marie Mucher | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2019-05-18 |
| 1295220796 | Jeremiah Lee | Respiratory Therapist, Certified | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2018-06-27 |
| 1164951018 | Tiela Lynn Otto | Physical Therapy Assistant | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2017-06-05 |
| 1912454679 | Daniel Wogksch | Occupational Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2016-09-09 |
| 1861859126 | David Ehmann | Physical Therapist | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2016-01-18 |
| 1770948499 | Denise Tennyson | Physical Therapy Assistant | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2015-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| 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 |
|---|---|---|---|---|
| 1629010368 | Mckerley Health Care Centers, Inc. | Skilled Nursing Facility | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2006-06-10 |
| 1386631265 | St Francis Rehabilitation & Nursing Center | Skilled Nursing Facility | 406 Court St, Laconia, NH 03246-3600 | 2005-10-05 |
| 1134116718 | Belknap County | Skilled Nursing Facility | 30 County Dr, Laconia, NH 03246-2900 | 2005-09-29 |
| 1588996144 | 175 Blueberry Lane | Skilled Nursing Facility | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2010-02-08 |
| 1720260557 | 175 Blueberry Lane Operations LLC | Skilled Nursing Facility | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2007-12-04 |
| 1104949825 | Genesis Rehabilitation Services | Skilled Nursing Facility | 175 Blueberry Ln, Laconia, NH 03246-2918 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538403092 | Christopher Braid | Skilled Nursing Facility | 17 Old Coach Rd, Kingston, NH 03848-3441 | 2012-11-21 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1154573921 | Christine Farnum | Skilled Nursing Facility | 18 Brenner Dr, Newton, NH 03858-3801 | 2008-10-10 |
| 1689821399 | Janet Pelletier | Skilled Nursing Facility | 46 Rangers Dr, Hudson, NH 03051-3534 | 2008-08-25 |
| 1588835904 | Innovative Placement Inc | Skilled Nursing Facility | 144 Chestnut St, Claremont, NH 03743-5845 | 2008-03-13 |
| 1467575183 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4 Peabody St, Tilton, NH 03276-5407 | 2007-04-09 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1396832580 | Thi of New Hampshire At Derry, LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2006-10-07 |
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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.