Organization Active NPI

Genesis Home Care Management Inc.

  • Home Health Agency
  • Wheat Ridge, CO
National Provider Identifier
1023475779
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10047G Issued in CO
Legal business name
GENESIS HOME CARE MANAGEMENT INC.
Practice address
3760 Vance St Ste 200
Wheat Ridge, CO 80033-6275
Phone
(303) 835-1166
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Ms. Georgina Santoyo
Title
Agency Manger
Phone
(720) 431-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10047G CO Primary

Addresses

Primary practice location

3760 Vance St Ste 200
Wheat Ridge, CO 80033-6275

Mailing address

3760 Vance St Ste 200
Wheat Ridge, CO 80033-6275
Phone (303) 835-1166

Other identifiers 1

IdentifierTypeStateIssuer
62852043MedicaidCO

National Provider Directory

National Provider Directory

Locations

3760 Vance St
Ste 200
Wheat Ridge, CO 80033
Phone (303) 835-1166

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1023475779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 VANCE ST STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336275",
            "telephone_number": "303-835-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 VANCE ST STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336275",
            "telephone_number": "303-835-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME CARE MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "SANTOYO",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "AGENCY MANGER",
        "authorized_official_telephone_number": "720-431-7974",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "10047G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62852043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.