GENESIS REHAB (NPI# 1679808240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679808240 |
| Entity Type | Organization |
| Organization Name | GENESIS REHAB |
| Practice Address |
3800 Shamrock Dr Charlotte NC 28215-3220 |
| Practice Telephone | 7045325364 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |
| Authorized Official Name | REBECCA NESBITT (PROGRAM MANAGER) |
| Authorized Official Telephone | 7045325364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 4255 | NC | 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 |
3800 SHAMROCK DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275668857 | Shirena Andra James | Occupational Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2007-02-22 |
| 1194332064 | Karen Jean Bryant | Counselor | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2020-09-25 |
| 1992265151 | Aqueelah Iman Yasin | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2019-03-23 |
| 1730617622 | Brittany Lynnae Marshe | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-05-23 |
| 1699215046 | Kristen Nicole Thompson | Physical Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-03-05 |
| 1982142428 | Belinda M Spinner | Occupational Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2017-02-04 |
| 1164878880 | The Village Behavioral Healthcare Services, Inc | Counselor | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2016-05-11 |
| 1689045817 | Kali R Nelson | Speech-Language Pathologist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-10-14 |
| 1801279922 | Mindy Warfford | Occupational Therapy Assistant | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-07-07 |
| 1811376155 | Priyanka Hingne | Physical Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2015-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| 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 |
|---|---|---|---|---|
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1962832899 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 10011 Providence Rd W, Charlotte, NC 28277-1561 | 2013-11-13 |
| 1861651770 | Melynda Ann Jones | Skilled Nursing Facility | 8945 Camden Creek Ln, 302, Charlotte, NC 28273-4908 | 2008-06-05 |
| 1992998504 | Aldersgate United Methodist Retirement Community, Inc. | Skilled Nursing Facility | 3625 Willard Farrow Drive, Charlotte, NC 28215-3220 | 2007-08-27 |
| 1427248905 | Park Village Rehab and Health, Inc. | Skilled Nursing Facility | 3223 Central Ave, Charlotte, NC 28205-5520 | 2007-07-31 |
| 1366577355 | White Oak Manor Charlotte Inc | Skilled Nursing Facility | 4009 Craig Ave, Charlotte, NC 28211-2505 | 2007-02-22 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1992738009 | Hcc - Healthcare of Charlotte, LLC | Skilled Nursing Facility | 333 Hawthorne Ln, Charlotte, NC 28204-2433 | 2006-07-09 |
| 1669408969 | Granite Falls Ltc, LLC | Skilled Nursing Facility | 9200 Glenwater Dr, Charlotte, NC 28262-8557 | 2006-06-25 |
| 1215979059 | Wilora Lake Healthcare LLC | Skilled Nursing Facility | 6001 Wilora Lake Rd, Charlotte, NC 28212-2833 | 2006-06-12 |
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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.