GENESIS HEALTHCARE (NPI# 1497114169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497114169 |
Entity Type | Organization |
Organization Name | GENESIS HEALTHCARE |
Practice Address |
803 S Main St Woodstock VA 22664-1125 |
Mailing Address |
104 Old Dominion Dr Winchester VA 22603-5788 |
Practice Telephone | 5404595676 |
Mailing Telephone | 5406711487 |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |
Authorized Official Name | ZACHARY CLINE (DIRECTOR OF REHAB) |
Authorized Official Telephone | 5404595616 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
0119006856 | VA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
1134660608 | Genesis Healthcare | Skilled Nursing Facility | 562 Rt 47 N, Cape May Court House, NJ 08210 | 2017-03-16 |
1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
1679930440 | Genesis Healthcare | Skilled Nursing Facility | 19948 State Route 93, Wellston, OH 45692-9048 | 2016-01-25 |
1013300532 | Genesis Healthcare | Skilled Nursing Facility | 5165 Crane Ave, Castro Valley, CA 94546-2529 | 2015-03-08 |
1750784161 | Genesis Healthcare | Clinic/Center | 4380 N Main St, Fall River, MA 02720-1711 | 2014-09-29 |
1558785261 | Genesis Healthcare | Skilled Nursing Facility | 1888 Edge Hill Rd, Abington, PA 19001-1214 | 2014-02-17 |
1104251446 | Genesis Healthcare | Skilled Nursing Facility | 3025 33rd St S Apt 3, La Crosse, WI 54601-7777 | 2013-09-05 |
1184916686 | Genesis Healthcare | Skilled Nursing Facility | 20 Summit Str, West Orange, NJ 07052 | 2011-05-03 |
1104138924 | Genesis Healthcare | Skilled Nursing Facility | 1522 Brookline Blvd, Pittsburgh, PA 15226-1914 | 2010-07-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | GENESIS HEALTHCARE | Monty, P O Box 50076, Midwest City, OK 73140 |
Colorado Business Entities | Genesis Healthcare & Nutrition Products, LLC | 1900 W. Littleton Blvd., Littleton, CO 80120 |
New York State Corporations | GENESIS HEALTHCARE BUSINESS CONSULTANTS INC. | 165 Bronx River Road, Yonkers, Ny 10704 |
Connecticut Business Registrations | Genesis Healthcare Holding Company I, Inc. | 4500 Dorr Street, Toledo, OH 43615 |
Massachusetts Corporations | GENESIS HEALTHCARE INNOVATIONS, INC. | 57 Athens Dr., Lowell, MA 01054 |
Vermont Business Registrations | GENESIS HEALTHCARE LLC | 101 E State St, Kennet Square, PA 19348 |
Washington State Corporations | GENESIS HEALTHCARE LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
New York State Corporations | GENESIS HEALTHCARE MANAGEMENT ALLIANCE, LLC | 69 Hitching Post Lane, Glen Cove, Ny 11542 |
New York State Corporations | GENESIS HEALTHCARE MANAGEMENT SERVICES, LLC | 137 Field Street, Apt. 28, Corning, New York 14830 |
Colorado Business Entities | GENESIS HEALTHCARE MANAGEMENT, LLC | 2164 Pinon Dr, Erie, CO 80516 |
Street Address |
803 S MAIN ST |
City | WOODSTOCK |
State | VA |
Zip Code | 22664-1125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311393 | Katherine Angela Delellis | Student in an Organized Health Care Education/Training Program | 803 S Main St, Woodstock, VA 22664-1125 | 2020-09-21 |
1073074142 | Kyle Hutson Benoit | Physical Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2019-03-29 |
1295293348 | Ann Meadows | Rehabilitation Practitioner | 803 S Main St, Woodstock, VA 22664-1125 | 2019-03-07 |
1457701567 | Sarah Howe | Speech-Language Pathologist | 803 S Main St, Woodstock, VA 22664-1125 | 2016-06-20 |
1467801951 | Kimberly Anderson | Occupational Therapist | 803 S Main St, Woodstock, VA 22664-1125 | 2016-06-06 |
1487039368 | Megan Wells | Physical Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2015-07-21 |
1689077901 | Kimberly Dearing-goodfellow | Occupational Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2014-09-30 |
1699184770 | Antionette Ella Booker Cecil Kamau | Occupational Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2014-08-04 |
1528483724 | Zachary Cline | Physical Therapist | 803 S Main St, Woodstock, VA 22664-1125 | 2014-02-25 |
1770910838 | Kenneth Edward Rasnake | Physical Therapy Assistant | 803 S Main St, Woodstock, VA 22664-1125 | 2013-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104310770 | Melissa Weidel | Speech-Language Pathologist | 803 S. Main St., Woodstock, VA 22664 | 2018-06-18 |
1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
1316463656 | Julia Elizabeth Romero | Doula | 1163 Dysart Road, Woodstock, VA 22664 | 2017-08-18 |
1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
1306240411 | National Counseling Group, Inc | Counselor | 505 N Main Street, Suite 101, Woodstock, VA 22664 | 2014-10-17 |
1255663555 | Laura S Hernandez-dauer | Dentist | 130 East Reservoir Road, Woodstock, VA 22664 | 2010-02-11 |
1891026654 | Lofton Verner Anderson | Counselor | 441 North Main Street, Woodstock, VA 22664 | 2010-01-19 |
1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
1851554992 | Joan Manuel Pino | Dentist | 124 Valley Vista Drive, Woodstock, VA 22664 | 2008-07-09 |
Find all providers in zip 22664 |
Taxonomy Code | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851591101 | Rehabcare | Clinic/Center | 1051j Village Hwy, Suite J, Rustburg, VA 24588-3800 | 2007-07-24 |
1023219904 | Community Physicians Services Corporation | Clinic/Center | 1418 Park Ave Nw, Norton, VA 24273-1602 | 2007-05-30 |
1336282268 | Taylor Made Diagnostics Inc. | Clinic/Center | 1001 Poindexter St, Chesapeake, VA 23324-2444 | 2007-02-14 |
1841383866 | Grady Health Services Inc. | Clinic/Center | 7524 Diplomat Dr, Manassas, VA 20109-2685 | 2006-10-02 |
1154342160 | Imed, Inc. | Clinic/Center | 838 Old George Washington Hwy N, Suite A, Chesapeake, VA 23323-2209 | 2006-07-22 |
1568933182 | Dominion Health Medical Assoc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2018-12-07 |
1508245648 | Anna Nicole Kostal | Clinic/Center | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2015-05-21 |
1982009593 | Working Well, LLC | Clinic/Center | 4835 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-10-24 |
1629482526 | Occupational Health Services | Clinic/Center | 607 E Jubal Early Dr, Winchester, VA 22601-5178 | 2014-06-18 |
1124438627 | Blue Ridge Medical Management Corporation | Clinic/Center | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-05-06 |
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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.