Genesis Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0174900 Issued in NJ

Legal business name

GENESIS HEALTH SERVICES LLC

Practice address

617A Central Ave
East Orange, NJ 07018-1966

Phone

(973) 678-5259

Fax

(973) 677-1563

NPI assigned

Feb 28, 2017

Last updated

Feb 28, 2017By 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

Francis Boadi Yeboah, RN

Title

Don/Owner

Phone

(973) 678-5259

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1083154884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617A CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181966",
            "telephone_number": "973-678-5259",
            "fax_number": "973-677-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617A CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181966",
            "telephone_number": "973-678-5259",
            "fax_number": "973-677-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "YEBOAH",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "BOADI",
        "authorized_official_title_or_position": "DON/OWNER",
        "authorized_official_telephone_number": "973-678-5259",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0174900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Gayle, LCSW
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• Valerie Gedeon
• Jonathan Gellis, DDS
• Wilson Samuel Genao-Estevez
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• Gental Care Home Agency
• Gentle Dental Group P a
• Anthony William George, RPH
• Jason C George, M.D.

• Home Health Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.