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GENESIS HOME CARE LLC NPI 1104330554


NPI Information

NPI: 1104330554
Provider Name: GENESIS HOME CARE LLC
Classification: Home Health Aide - 374U00000X
Entity Type: Organization
Address:
1228 BONITA CIR
JONESBORO, GA
ZIP 30238
Phone: (770) 875-7152
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GENESIS HOME CARE LLC is a home health aide in Jonesboro, GA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. GENESIS HOME CARE LLC NPI is 1104330554. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1228 BONITA CIR
JONESBORO, GA
ZIP 30238-882
Phone: (770) 875-7152

The provider's authorized official is Brian D Greer .
The authorized official title is Owner and has the following contact phone number (770) 808-6070.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 11/21/2017.


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
1374U00000XHome Health AideGEORGIAYes

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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