# GENESIS HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558648998
- **Authorized official:** MS. JUDITY SKATES RN (ADMINISTRATOR)
- **Authorized official phone:** (815) 625-1115

## Contact information

- **Practice address:** 2605 WOODLAWN RD STE 1, STERLING, IL 61081-4174
- **Practice address phone:** (815) 625-1115
- **Mailing address:** 2605 WOODLAWN RD STE 1, STERLING, IL 61081-4174
- **Mailing address phone:** (815) 625-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | 4000111 | IL | — |
| 253Z00000X | In Home Supportive Care Agency | 3000126 | IL | Yes |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 11/14/2011