# GENESIS ELDERCARE REHABILITATION SERVICES LLC

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

## Provider details

- **NPI number:** 1922093301
- **Authorized official:** LOUISE ANN SOIKA (SVP)
- **Authorized official phone:** (610) 925-4088

## Contact information

- **Practice address:** 775 E JOHNSTOWN RD, C/O SUNRISE OF GAHANNA, GAHANNA, OH 43230-2115
- **Practice address phone:** (614) 532-5199
- **Mailing address:** 101 E STATE ST, C/O AMY NUNEMAKER, KENNETT SQUARE, PA 19348-3109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 02/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 412169915-00 | BWC PROVIDER NUMBER | OH |