Genezen Home Health Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENEZEN HOME HEALTH CARE SERVICES INC

Practice address

25910 Acero Ste 110
Mission Viejo, CA 92691-7938

Phone

(949) 380-6930

Fax

(949) 446-4700

NPI assigned

Mar 18, 2016

Last updated

Feb 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Dejesus Empeno, RN

Title

DPCS/Administrator

Phone

(949) 380-6930

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073974911. Details of each certification follow.

• CCN 559045 Home health agency · Active · Details

Home health agency certification: CCN 559045

Legal name

GENEZEN HOME HEALTH CARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 25, 2019

Last certification

Jul 25, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 20, 2015 in CA

Enrollment address

25910 Acero
Ste 110
Mission Viejo, CA 92691-7938

Listed as

Genezen Home Health Care Services, IncCCN 559045 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 25, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joslyn Lois Gumbs, MD

  • Obstetrics Physician
  • Los Angeles, CA
  • NPI 1285658690
  NPD (past)

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lynda Marie Adrig, MD

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1568590388

  Home health agency

  Care Compare affiliation
• Alvin Chang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Tustin, CA
  • NPI 1396857181

  Home health agency

  Care Compare affiliation
• Raef Mounir Elsanadi, MD

  • Internal Medicine Physician
  • Ladera Ranch, CA
  • NPI 1487744819

  Home health agency

  Care Compare affiliation
• Jeffrey Steven Felgner, M.D.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1790122497

  Home health agency

  Care Compare affiliation
• Mohana Shivram Kulkarni, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1457419236

  Home health agency

  Care Compare affiliation
• Ali Shahverdiani, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1063943579

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1073974911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917938",
            "telephone_number": "949-380-6930",
            "fax_number": "949-446-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917938",
            "telephone_number": "949-380-6930",
            "fax_number": "949-446-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEZEN HOME HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "EMPENO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "DEJESUS",
        "authorized_official_title_or_position": "DPCS/ADMINISTRATOR",
        "authorized_official_telephone_number": "949-380-6930",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl J Gebhard, M.D.
• David Gedeon, MD
• Geeta Venkatasubramaniam MD Inc (Geeta Venkat M.D.INC)
• Lori Gelgur, R.D.
• Elizabeth Mae Gendron, MAT
• Gentle Care Home Health, Inc.
• George G Miranda, MD, Inc
• Get Therapy LLC
• Rama Ghaem Maghami, DDS
• Mariko Ghanem, LMFT

• Home Health Agency in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.