GENESIS ELDERCARE (NPI# 1659664431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659664431 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE |
| Other Organization Name | GENESIS |
| Practice Address |
613 Hammonds Ln Brooklyn Park MD 21225-3351 |
| Practice Telephone | 4103508514 |
| Practice Fax Number | 4106368931 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MS. MONIQUE PRICE (PROGRAM MANAGER) |
| Authorized Official Telephone | 4103508514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 224Z00000X | MD | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesis | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | GENESIS ELDERCARE CENTERS - BEVERLY AND DANVERS, INC. | 101 E. State St., Kennett Square, PA 19348 |
| Connecticut Business Registrations | GENESIS ELDERCARE DIAGNOSTIC SERVICES, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | GENESIS ELDERCARE HOME CARE SERVICES, INC. | 101 East State St., Kennet Square, PA 19348 |
| Vermont Business Registrations | GENESIS ELDERCARE HOSPITALITY SERVICES, INC. | 101 E State Street, Kennett Square, PA 19348 |
| Connecticut Business Registrations | GENESIS ELDERCARE HOSPITALITY SERVICES, INC. | 101 East State St., Kennett Square, PA 19348 |
| Ohio Business Entities | GENESIS ELDERCARE HOSPITALITY SERVICES, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Virginia Business Entities | Genesis Eldercare National Centers Inc. | 4500 Dorr St, Toledo, Ohio 43615-4040 |
| Connecticut Business Registrations | GENESIS ELDERCARE NATIONAL CENTERS, INC. | 101 East State Street, Kennett Square, PA 19348 |
| North Carolina Corporations | Genesis Eldercare Network Services Inc. | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Colorado Business Entities | GENESIS ELDERCARE NETWORK SERVICES, INC. | 101 East State Street, Kennett Square, PA 19348 |
| Street Address |
613 HAMMONDS LN |
| City | BROOKLYN PARK |
| State | MD |
| Zip Code | 21225-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550168 | Meridian Health, Inc. | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2006-05-31 |
| 1871947259 | 613 Hammonds Lane Operations LLC | Physical Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2016-04-21 |
| 1871986349 | Lisa Cugle | Physical Therapy Assistant | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2015-03-09 |
| 1265729271 | Rachael Megan Fleming | Occupational Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-06-29 |
| 1043506645 | Michael Louis Veid II | Occupational Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-06-22 |
| 1316231160 | Genesis | Nursing Facility/Intermediate Care Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-06-08 |
| 1831482645 | Genesis Healthcare | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-26 |
| 1497048516 | Lisa Surell Armenti | Speech-Language Pathologist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-23 |
| 1639331515 | Regina Ann Puthen Purackal | Physical Therapist | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2008-07-01 |
| 1609058171 | 613 Hammonds Lane Operations LLC | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
| Find all providers in zip 21225 | ||||
| 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 |
|---|---|---|---|---|
| 1841621521 | Top Notch Nursing, LLC | Skilled Nursing Facility | 5513 Brookdale Dr N, Apt 210, Brooklyn Park, MN 55443-3083 | 2013-12-06 |
| 1821428012 | Juanita's Home Health, LLC | Skilled Nursing Facility | 8601 Edinbrook Xing, Apt 331, Brooklyn Park, MN 55443-4015 | 2013-11-25 |
| 1619236767 | Oxbow Lake Care Center, LLC | Skilled Nursing Facility | 9751 Regent Ave. No., Brooklyn Park, MN 55443 | 2012-05-10 |
| 1972550168 | Meridian Health, Inc. | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2006-05-31 |
| 1437540242 | Callina Healthcare Services, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 443, Brooklyn Park, MN 55443 | 2015-02-16 |
| 1932530516 | Oasis Home Health, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 401, Brooklyn Park, MN 55443-4016 | 2013-12-06 |
| 1558792234 | State Wwide Home Health, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 347, Brooklyn Park, MN 55443-4016 | 2013-12-06 |
| 1770914756 | Regal Health Care | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 409, Brooklyn Park, MN 55443-4016 | 2013-12-02 |
| 1831482645 | Genesis Healthcare | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2011-05-26 |
| 1609058171 | 613 Hammonds Lane Operations LLC | Skilled Nursing Facility | 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 | 2007-11-27 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 21225 |
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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.