Genesis

Skilled Nursing Facility · Salem, OH

Organization Active NPI

NPI number 1659683936

Practice location

2511 Bentley Dr
Salem, OH 44460-2503
Phone
(330) 337-3015

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NPI record

NPI
1659683936
Entity type
Organization (Type 2)
Enumeration date
July 2, 2010
Last updated
July 2, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 1087 OH

Mailing address

44755 Middle Beaver Rd
Lisbon, OH 44432-9556
Phone
(330) 424-1504

Authorized official

Name
Mrs. Shirley Ann Tice, COTA/L
Title
Certified Occupational Therapis
Phone
(330) 424-1504

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 2511 Bentley Dr, Salem, OH 44460-2503. The NPI number 1659683936 was assigned on July 2, 2010 and the record was last updated on July 2, 2010.

Genesis lists a license in the registry: #1087 (OH) 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. Shirley Ann Tice, COTA/L, Certified Occupational Therapis.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1659683936.

What is the phone number of Genesis?

The phone number listed for the practice location is (330) 337-3015.

Where is Genesis located?

2511 Bentley Dr, Salem, OH 44460-2503.

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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