NPIMap

Organization Active NPI

Genesis Total Healthcare, LLC

  • Home Health Agency
  • Burton, MI
National Provider Identifier
1003851544
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENESIS TOTAL HEALTHCARE, LLC
Practice address
4199 Davison Rd
Suite C
Burton, MI 48509-1468
Phone
(810) 742-4353
Fax
(810) 743-4355
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judy A Ekong, RN
Title
Vice President
Phone
(810) 742-4353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

4199 Davison Rd
Suite C
Burton, MI 48509-1468

Mailing address

4199 Davison Rd
Suite C
Burton, MI 48509-1468
Phone (810) 742-4353

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1003851544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 DAVISON RD",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091468",
            "telephone_number": "810-742-4353",
            "fax_number": "810-742-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 DAVISON RD",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091468",
            "telephone_number": "810-742-4353",
            "fax_number": "810-743-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TOTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "810-742-4353",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.