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GENESIS43 LLC NPI 1285965004


NPI Information

NPI: 1285965004
Provider Name: GENESIS43 LLC

Doing Business As: COMFORCARE HOME CARE

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 552-4300
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GENESIS43 LLC is an in home supportive care in Saint Clair Shores, MI. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. GENESIS43 LLC NPI is 1285965004. The provider is registered as an organization entity type.
The provider Is Doing Business As Comforcare Home Care.

The provider's business location address is:

22811 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080-021
Phone: (586) 552-4300
Fax: (586) 552-4304

The provider's authorized official is Segundo I Baldovino .
The authorized official title is Owner/operator and has the following contact phone number (586) 552-4300.

The enumeration date for this NPI number is 1/18/2010 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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