Genesis

Skilled Nursing Facility · Rogers, AR

Organization Active NPI

NPI number 1386997781

Practice location

1513 S Dixieland Rd
Rogers, AR 72758-4935
Phone
(479) 636-5841

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NPI record

NPI
1386997781
Entity type
Organization (Type 2)
Enumeration date
October 23, 2012
Last updated
October 23, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X OTR1586 AR

Mailing address

4106 Candlewood Pl
Rogers, AR 72758-8253
Phone
(479) 263-1268

Authorized official

Name
Mr. Michael David, PTA
Title
Physical Therapy Assistant
Phone
(479) 330-0187

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 1513 S Dixieland Rd, Rogers, AR 72758-4935. The NPI number 1386997781 was assigned on October 23, 2012 and the record was last updated on October 23, 2012.

Genesis lists a license in the registry: #OTR1586 (AR) 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 Mr. Michael David, PTA, Physical Therapy Assistant.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1386997781.

What is the phone number of Genesis?

The phone number listed for the practice location is (479) 636-5841.

Where is Genesis located?

1513 S Dixieland Rd, Rogers, AR 72758-4935.

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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