GENESIS (NPI# 1750647350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750647350 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
931 Baldwin Ave Negaunee MI 49866-1064 |
| Practice Telephone | 9062351911 |
| Mailing Telephone | 9062351911 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | JILL NICHOLE WIECIECH (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9062042555 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| Street Address |
931 BALDWIN AVE |
| City | NEGAUNEE |
| State | MI |
| Zip Code | 49866-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508352121 | David Levi Jylha | Custodial Care Facility | 225 County Rd 480, Negaunee, MI 49866 | 2018-07-06 |
| 1457874455 | Anne Marie Marshall | Counselor | 104 Malton Rd., Asc Great Lakes Recovery, Negaunee, MI 49866 | 2017-07-21 |
| 1114336286 | Jordan Jarvi | Physical Therapy Assistant | 600 Us Highway 41, Negaunee, MI 49866 | 2014-08-04 |
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1144408220 | Dan Whitley Collins | Dentist | 100 Croix Street, Negaunee, MI 49866 | 2008-01-31 |
| 1588705602 | Denise Evie Koehn | Nurse Practitioner | Marquette County Health Dept., 184 Hwy 41 East, Negaunee, MI 49866 | 2007-02-09 |
| 1659467744 | Sandra K Mccowen | Family Medicine | 100 Malton Rd., Negaunee, MI 49866 | 2006-10-05 |
| 1689680480 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 390 Us 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1013924323 | Mk Stores Inc | Pharmacy | 380 Us Highway 41 East, Negaunee, MI 49866 | 2006-08-01 |
| 1568432342 | Professional Breathing Associates Inc | Prosthetic/Orthotic Supplier | 256 U.S. 41 East, Negaunee, MI 49866 | 2006-01-25 |
| Find all providers in zip 49866 | ||||
| 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 |
|---|---|---|---|---|
| 1174515407 | Eastwood Nursing Center of Negaunee, Inc. | Skilled Nursing Facility | 900 Maas St, Negaunee, MI 49866-1502 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798731 | Windemere Park of Troy Operations LLC | Skilled Nursing Facility | 5990 N Adams Rd, Troy, MI 48098-2377 | 2020-04-08 |
| 1982235396 | Berg-lahser Snf, LLC | Skilled Nursing Facility | 21630 Hessel Ave # 1230, Detroit, MI 48219-1230 | 2020-02-04 |
| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
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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.