MEDICARE: GENESIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0000038	CO

General Provider Information

NPI Number	:	1932501988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS

Provider Business Mailing Address
First Line	:	505 CANON AVE
Second Line	:	APT 2
City	:	MANITOU SPRINGS
State	:	CO
Zip	:	80829-2947
Country	:	US
Telephone Number	:	248-794-4467
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 CANON AVE
Second Line	:	APT 2
City	:	MANITOU SPRINGS
State	:	CO
Zip	:	80829-2947
Country	:	US
Telephone Number	:	248-794-4467
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPY ASSISTANT
Name	:	SARA KELI CHARLES
Credential	:	COTA
Telephone Number	:	248-794-4467

Provider Enumeration Date	:	09/22/2014
Last Update Date	:	09/22/2014

Similar Medicare Providers

1679974216 — MR. BRIAN ROSNICK
Practice Location Address:

3133 W SPRINGS DR , APT. B
ELLICOTT CITY, MD
21043-2947

Practice Phone: 727-773-5847
Practice Fax:

1649888082 — TREE OF LIFE BEHAVIORAL SOLUTIONS, CORP
Practice Location Address:

1070 MANOR DR
PALM SPRINGS, FL
33461-2947

Practice Phone: 786-337-3708
Practice Fax:

1245936376 — ELSIE QUIROS NP
Practice Location Address:

8460 NW 40TH ST
CORAL SPRINGS, FL
33065-2947

Practice Phone: 305-384-8599
Practice Fax:

1225858582 — AMY LEA BOREN REGISTERED NURSE
Practice Location Address:

939 N 18TH ST
COLORADO SPRINGS, CO
80904-2947

Practice Phone: 719-304-9966
Practice Fax:

1679564827 — DR. GREGORY EVAN SHARP M.D.
Practice Location Address:

335 MANITOU AVE
MANITOU SPRINGS, CO
80829-2537

Practice Phone: 719-686-8844
Practice Fax:

1063505048 — DR. KARLENE KILMER PHD
Practice Location Address:

441 MANITOU AVE STE 201
MANITOU SPRINGS, CO
80829-2334

Practice Phone: 719-460-7289
Practice Fax: 719-623-0657

Directions to “GENESIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.