GENESIS HEALTH AND WELLNESS LLC NPI 1336470616

NPI Information

NPI: 1336470616
Provider Name: GENESIS HEALTH AND WELLNESS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
8211 W STATE ROUTE 66
NEWBURGH, IN
ZIP 47630
Phone: (812) 858-1005
Get Directions

GENESIS HEALTH AND WELLNESS LLC is a customized equipment durable medical equipment medical supplies in Newburgh, IN. GENESIS HEALTH AND WELLNESS LLC NPI is 1336470616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8211 W STATE ROUTE 66
NEWBURGH, IN
ZIP 47630-534
Phone: (812) 858-1005
Fax: (812) 858-1001

The provider's authorized official is Shaun P Tymchak .
The authorized official title is Director and has the following contact phone number (812) 858-1005.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 8/30/2012.

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
1	208D00000X	General Practice				No
2	133NN1002X	Nutritionist	Nutrition, Education	08002011A	INDIANA	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	08002011A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201085220A	MEDICAID	INDIANA
2	6480930001	MEDICARE NSC	INDIANA

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

NPI Synchronization or Removal

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