GENESIS ELDERCARE REHABILITATION SERVICES INC NPI 1093131716

NPI Information

  • NPI: 1093131716
  • Provider Name: GENESIS ELDERCARE REHABILITATION SERVICES INC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: GENESIS REHABILITATION SERVICES
  • Address: 1967 HIGHWAY 54 W
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 631-2338

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NPI Details

GENESIS ELDERCARE REHABILITATION SERVICES INC is a rehabilitation clinic center in Fayetteville, GA. GENESIS ELDERCARE REHABILITATION SERVICES INC NPI is 1093131716. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Rehabilitation Services.

The provider's business location address is:

1967 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214-747
Phone: (770) 631-2338

The provider's authorized official is Michele K Burk .
The authorized official title is Sr Director and has the following contact phone number (610) 925-4409.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 3/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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