GENESIS REHAB SERVICES (NPI# 1629460761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629460761 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB SERVICES |
| Practice Address |
1120 West Donegan Ave. Keystone Rehab Center Kissimmee FL 34741 |
| Mailing Address |
2122 Jeremiah Way Kissimmee FL 34743-3718 |
| Practice Telephone | 4072017749 |
| Mailing Telephone | 7578168293 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MR. HECTOR R DE JESUS (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 4072017749 |
| Authorized Official Credential | LPTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | PTA 24415 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396119772 | Genesis Rehab Services | Skilled Nursing Facility | 32 Regal Pl, Winter Garden, FL 34787-2333 | 2015-11-22 |
| 1538539754 | Genesis Rehab Services | Skilled Nursing Facility | 439 Princeton Blvd, Wenonah, NJ 08090-1326 | 2015-09-30 |
| 1053780106 | Genesis Rehab Services | Rehabilitation Hospital | 146 County Road 5720, Castroville, TX 78009-2104 | 2015-09-18 |
| 1174990790 | Genesis Rehab Services | Skilled Nursing Facility | 404 Chase Ct, Edgewater, NJ 07020-1609 | 2015-08-31 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1326438185 | Genesis Rehab Services | Skilled Nursing Facility | 290 Bark St, Swansea, MA 02777-4818 | 2015-02-02 |
| 1639569452 | Genesis Rehab Services | Skilled Nursing Facility | 4921 Calabash Tree Ct, Las Vegas, NV 89148-1686 | 2015-02-01 |
| 1417365693 | Genesis Rehab Services | Long Term Care Hospital | 211103 Old Ranch Ct, Salinas, CA 93908 | 2014-07-31 |
| 1265840532 | Genesis Rehab Services | Long Term Care Hospital | 2506 Swift Ave, Clovis, CA 93611-3900 | 2014-07-30 |
| 1114342698 | Genesis Rehab Services | Clinic/Center | 905 W 4th St, Lock Haven, PA 17745-2717 | 2014-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GENESIS REHAB SERVICES LLC | 9430 Wicker Ave, Saint John, IN 46373 |
| Street Address |
1120 WEST DONEGAN AVE. KEYSTONE REHAB CENTER |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1629689112 | Understanding Hearts LLC | Assisted Living Facility | 242 Abbotsbury Dr, Kissimmee, FL 34758-4218 | 2020-08-10 |
| 1306476627 | Central Florida Elder Care, LLC | Assisted Living Facility | 127 Leon Ct, Kissimmee, FL 34743-7014 | 2020-01-26 |
| 1881237436 | Sonata Osceola Managers, LLC | Assisted Living Facility | 1701 Ball Park Rd, Kissimmee, FL 34741-1135 | 2019-10-25 |
| 1366085342 | Victoria Floral Gardens Corp | Assisted Living Facility | 962 Nancy Ct, Kissimmee, FL 34759-3802 | 2019-10-23 |
| 1700342219 | Ucilla Crooke | Assisted Living Facility | 1859 Monte Cristo Ln, Kissimmee, FL 34758-2168 | 2019-02-20 |
| 1902362148 | The Courtyard At Granada | Assisted Living Facility | 1501 Granada Blvd, Kissimmee, FL 34746-3619 | 2019-02-12 |
| 1861976342 | Djmp Management Florida LLC | Assisted Living Facility | 4104 Foxtail Ct, Kissimmee, FL 34746-3305 | 2018-09-20 |
| 1629562491 | Rose's Terrace Inc | Assisted Living Facility | 1924 Neptune Rd, Kissimmee, FL 34744-4939 | 2018-06-15 |
| 1538651831 | Lorey Alf | Assisted Living Facility | 2347 Walnut Canyon Dr, Kissimmee, FL 34758-1719 | 2018-06-01 |
| 1154854719 | Safe Faith Paradise Alf,llc | Assisted Living Facility | 541 Brentford Ct, Kissimmee, FL 34758-4119 | 2017-04-10 |
| Find all providers in KISSIMMEE | ||||
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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.