Genesis

Skilled Nursing Facility · Pawtucket, RI

Organization Active NPI

NPI number 1831485689

Practice location

70 Gill Ave
Pawtucket, RI 02861-4315
Phone
(401) 722-7900

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NPI record

NPI
1831485689
Entity type
Organization (Type 2)
Enumeration date
June 21, 2011
Last updated
June 21, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X PTA00767 RI

Authorized official

Name
Debra Lynn Collette, PTA
Title
Physical Therapy Assistant
Phone
(401) 722-7900

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 70 Gill Ave, Pawtucket, RI 02861-4315. The NPI number 1831485689 was assigned on June 21, 2011 and the record was last updated on June 21, 2011.

Genesis lists a license in the registry: #PTA00767 (RI) 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 Debra Lynn Collette, PTA, Physical Therapy Assistant.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1831485689.

What is the phone number of Genesis?

The phone number listed for the practice location is (401) 722-7900.

Where is Genesis located?

70 Gill Ave, Pawtucket, RI 02861-4315.

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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