GENESIS HEALTH DEVELOPMENT INC. NPI 1740864164

NPI Information

NPI: 1740864164
Provider Name: GENESIS HEALTH DEVELOPMENT, INC.

Doing Business As: BROOKS REHAB CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1885 S 14TH ST
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 277-4449
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GENESIS HEALTH DEVELOPMENT, INC. is a rehabilitation clinic center in Fernandina Beach, FL. GENESIS HEALTH DEVELOPMENT, INC. NPI is 1740864164. The provider is registered as an organization entity type.
The provider Is Doing Business As Brooks Rehab Center.

The provider's business location address is:

1885 S 14TH ST
FERNANDINA BEACH, FL
ZIP 32034-033
Phone: (904) 277-4449
Fax: (904) 277-4177

The provider's authorized official is Kelli Portugal .
The authorized official title is Director, Managed Care and has the following contact phone number (904) 345-7158.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 11/7/2023.

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
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

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: 4/28/2024

NPI Synchronization or Removal

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