Genesis

Skilled Nursing Facility · Shenandoah, PA

Organization Active NPI

NPI number 1386872885

Practice location

124 Schuylkill Ave
Shenandoah, PA 17976-1337
Phone
(570) 462-0345

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NPI record

NPI
1386872885
Entity type
Organization (Type 2)
Enumeration date
June 24, 2009
Last updated
June 24, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X TEI000175 PA

Authorized official

Name
Mrs. Kathleen Eileen Beacher I, PTA
Title
Physical Therapist Assistant
Phone
(570) 624-3228

Other names

  • Genesis

About Genesis

Genesis is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 124 Schuylkill Ave, Shenandoah, PA 17976-1337. The NPI number 1386872885 was assigned on June 24, 2009 and the record was last updated on June 24, 2009.

Genesis lists a license in the registry: #TEI000175 (PA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Kathleen Eileen Beacher I, PTA, Physical Therapist Assistant.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1386872885.

What is the phone number of Genesis?

The phone number listed for the practice location is (570) 462-0345.

Where is Genesis located?

124 Schuylkill Ave, Shenandoah, PA 17976-1337.

What is the taxonomy code for Genesis?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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