GENESIS


Address: 5755 Shattalon Dr, Winston Salem, NC 27105-1332
Phone: 3367442779

GENESIS (NPI# 1487887196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487887196
Entity Type Organization
Organization Name GENESIS
Practice Address 5755 Shattalon Dr
Winston Salem
NC 27105-1332
Practice Telephone 3367442779
Enumeration Date 2009-08-27
Last Update Date 2009-08-27
Authorized Official Name MRS. LEIGH ANN HINERMAN (OCCUPATIONAL THERAPIST)
Authorized Official Telephone 3366886515
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 5223 NC Nursing & Custodial Care Facilities

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 5755 SHATTALON DR
City WINSTON SALEM
State NC
Zip Code 27105-1332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699909085 Katherine Hughes Richardson Speech-Language Pathologist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2009-05-13
1447405394 Amanda L Hurley Occupational Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2008-11-19
1629276258 Alfred Dockery Physical Therapy Assistant 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-07-05
1770607590 Peter Andrew Smart Physical Therapy Assistant 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-19
1174657522 Robynn Jean Careccia Occupational Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-16
1760516116 Jimmy Demario Jackson Occupational Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-16
1558495820 Howard Spencer Coletrain Physical Therapy Assistant 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-16
1295868404 Melissa Elrod Occupational Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-14
1952434128 Ronita Vas Bhat Physical Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-14
1043343924 Kelli B Cross Occupational Therapist 5755 Shattalon Dr, Winston Salem, NC 27105-1332 2007-03-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346711827 Allison Colette Steinhaus Counselor 8025 Northpoint Blvd, Winston Salem, NC 27105 2018-12-10
1033600382 Alterman & Dhillon Piedmont, Pplc Dentist 336 E Hanes Mill Rd, Winston Salem, NC 27105 2018-05-22
1336676030 Goldsmith Quality Care LLC. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 132 Jazer Ln, Winston Salem, NC 27105 2017-05-12
1427459981 Tammy Bartlett Physical Therapy Assistant 4850 Sandusky St., Winston Salem, NC 27105 2014-09-15
1194154229 Marla C Torrence Counselor 4140 N. Cherry Street, Winston Salem, NC 27105 2013-11-08
1629313051 Lydia L. Barber Counselor 420 Forest Hills Ave, Winston Salem, NC 27105 2012-12-12
1023362530 Helen Doby Martin Home Health Aide 4782 Butchwood Drive, Winston-salem, NC 27105 2012-11-06
1740545284 Hines Good Samaritan Home Technician 2219 Manchester St., Winston-salem, NC 27105 2012-07-11
1043518129 Alda Petra Bernardez Pharmacist 3539 Patterson Avenue, Winston Salem, NC 27105 2011-03-14
1225336449 Alia Khaled Al-asfar Pharmacist 3539 Patterson Avenue., Winston Salem, NC 27105 2011-03-11
Find all providers in zip 27105

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699122093 Lori Trexler Skilled Nursing Facility 1424 Beaverton Trl, Winston Salem, NC 27103-5269 2016-05-16
1417137340 Winston Salem Healthcare LLC Skilled Nursing Facility 1900 W 1st St, Winston Salem, NC 27104-4220 2007-11-08
1619974177 Foundation Health Systems Corp Skilled Nursing Facility 5755 Shattalon Drive, Winston Salem, NC 27105-1332 2005-06-30
1487659900 Foundations Health Systems Corp Skilled Nursing Facility 901 Bethesda Road, Winston Salem, NC 27103-3015 2005-06-21
1811466642 Talisa S Dorsey Skilled Nursing Facility 190 Moravian Way Dr, Winston Salem, NC 27106-3216 2018-11-21
1205357878 Accordius Health At Winston Salem, LLC Skilled Nursing Facility 4911 Brian Center Ln, Winston Salem, NC 27106-6423 2017-07-04
1104375823 Arbor Acres United Methodist Retirement Community, Inc Skilled Nursing Facility 1240 Arbor Rd, Winston Salem, NC 27104-1106 2016-09-22
1669834347 Winston Salem Rehab Operations LLC Skilled Nursing Facility 1900 W 1st St, Winston Salem, NC 27104-4220 2016-03-22
1063838381 Silas Creek Rehabilitation Center, LLC Skilled Nursing Facility 3350 Silas Creek Pkwy, Winston Salem, NC 27103-3014 2014-03-11
1356617419 Healthtique Winston Salem, LLC Skilled Nursing Facility 1900 W 1st St, Winston Salem, NC 27104-4220 2012-03-22
Find all providers in WINSTON SALEM

Competitor

Search similar providers

City WINSTON SALEM
Zip Code 27105

Improve Information

Please comment or provide details below to improve the information on GENESIS.

Dataset Information

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.

Trending Searches