Funtional Life Achievement Inc.

LBN: Genesis Healthcare
Funtional Life Achievement Inc. is an health care organization with primary practice located at 161 Madison Ave 2Nd Floor, New York NY 10016-5421. The organization recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Agencies / Early Intervention Provider Agency is the primary health care specialty. Genesis Healthcare can be contacted via phone (212) 683-8905, or through Wang, Alicia via phone (617) 663-7023.

Contact Information

Primary practice address
161 Madison Ave 2Nd Floor New York NY 10016-5421
Phone: (212) 683-8905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wang, Alicia MS-CCC/SLP
Phone: (617) 663-7023

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 021023 New York
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 7941 Massachusetts

Profile Details

NPI number 1295022978
LBN Legal business name Genesis Healthcare
DBA Doing business as Funtional Life Achievement Inc.
Authorized official Wang, Alicia MS-CCC/SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2011
Last updated Dec 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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