GENESIS
NPI 1487887196
Skilled Nursing Facility in Winston Salem, NC

NPI Status: Active since August 27, 2009

Contact Information

5755 SHATTALON DR
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 744-2779

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  • Organization
  • Skilled Nursing Facility

About GENESIS

This page provides the complete NPI Profile along with additional information for Genesis, a provider established in Winston Salem, North Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1487887196 assigned on August 2009. The practitioner's primary taxonomy code is 314000000X with license number 5223 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mrs. Leigh Ann Hinerman (Occupational Therapist)

NPI
1487887196
Provider Name
GENESIS
Entity Type
Organization
Location Address
5755 SHATTALON DR WINSTON SALEM, NC 27105
Location Phone
(336) 744-2779
Mailing Address
5755 SHATTALON DR WINSTON SALEM, NC 27105
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2009
Last Update Date
08-27-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
5223
License State
NC
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LEIGH ANN HINERMAN

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(336) 688-6515

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487887196
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416716814118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 6 + 8 + 1 + 4 + 1 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1487887196 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801848841FOUNDATION HEALTH SYSTEMS, CORP
Organization
Nursing Facility/Intermediate Care Facility5755 SHATTALON DR
WINSTON-SALEM, NC 27105
(336) 718-6800
1043343924MRS. KELLI B CROSS MOTRL
Individual
Occupational Therapist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1295868404 MELISSA ELROD MOTRL
Individual
Occupational Therapist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1174657522 ROBYNN JEAN CARECCIA OTRL
Individual
Occupational Therapist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1760516116MR. JIMMY DEMARIO JACKSON OTRL
Individual
Occupational Therapist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1558495820MR. HOWARD SPENCER COLETRAIN LPTA
Individual
Physical Therapy Assistant5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1770607590MR. PETER ANDREW SMART PTA
Individual
Physical Therapy Assistant5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1629276258MR. ALFRED DOCKERY PTA
Individual
Physical Therapy Assistant5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1447405394 AMANDA L HURLEY OTR/L
Individual
Occupational Therapist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 767-2750
1699909085MRS. KATHERINE HUGHES RICHARDSON MA
Individual
Speech-Language Pathologist5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 744-2779
1922882638 KRISTEN NICOLE GLAESER LCMHC-A. LCAS-A, NCC
Individual
Counselor (Addiction (Substance Use Disorder))5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 448-2628
1013969922ADDICTION RECOVERY CARE ASSOCIATION
Organization
Community/Behavioral Health5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 784-9470
1205360120 MICHELLE ASHLEY WOOD D.O.
Individual
Internal Medicine5755 SHATTALON DR
WINSTON SALEM, NC 27105
(336) 784-9470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487887196, enumerated in the NPI registry as an "organization" on August 27, 2009

The provider is located at 5755 Shattalon Dr Winston Salem, Nc 27105 and the phone number is (336) 744-2779

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on August 27, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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