GENESIS HEALTHCARE (NPI# 1790246627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790246627 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTHCARE |
| Practice Address |
8560 N Silvery Ln Ste 101 Dearborn Heights MI 48127-4516 |
| Practice Telephone | 3136362290 |
| Mailing Telephone | 3136362290 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Authorized Official Name | EDRICK FERGUSON (OWNER) |
| Authorized Official Telephone | 3136362290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124250444 | Genesis Healthcare | Community/Behavioral Health | 925 South St, Portsmouth, VA 23704-4125 | 2009-08-20 |
| 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 |
| Virginia Business Entities | Genesis HealthCare LLC | 101 E State St, Kennett Square, Pennsylvania 19348 |
| Massachusetts Corporations | GENESIS HEALTHCARE LLC | 101 E. State Street, Kennett Square, PA 19348 |
| New York State Corporations | GENESIS HEALTHCARE MANAGEMENT ALLIANCE, LLC | 69 Hitching Post Lane, Glen Cove, Ny 11542 |
| Street Address |
8560 N SILVERY LN STE 101 |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215569793 | Spectrum Medical, Pllc | Clinic/Center | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2020-02-12 |
| 1336704311 | Genesis Md Diagnostic Imaging PC | Clinic/Center | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-05-06 |
| 1982165619 | Genesis Md, Pllc | Pain Medicine | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787808 | Ali Harb | Radiology | 1756 Kinmore St, Dearborn Heights, MI 48127-3415 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| 1336693993 | Riverside Radiology Medical Group, Inc | Radiology | 3309 Squirrel Rd, Bloomfield, MI 48304-2456 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
Please comment or provide details below to improve the information on GENESIS HEALTHCARE.
| 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.