Genesis Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENESIS HEALTHCARE LLC

Practice address

7193 Swinnea Rd Ste a
Southaven, MS 38671-6351

Phone

(901) 334-8615

NPI assigned

Feb 24, 2020

Last updated

Sep 15, 2021By 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

Lakrystal Newson

Title

Owner

Phone

(901) 334-8615

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1093349516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7193 SWINNEA RD STE A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716351",
            "telephone_number": "662-470-6424",
            "fax_number": "662-470-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7193 SWINNEA RD STE A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716351",
            "telephone_number": "901-334-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "NEWSON",
        "authorized_official_first_name": "LAKRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-334-8615"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Lea Garrett, PMHNP-BC
• Shatillya Nicole Garrett
• Beverly Garrison, RMT
• Terri Darlene Gatton, D.C.
• General Surgery of Southaven LLC
• Genoa Healthcare LLC
• Gentle Butterfly MPS LLC
• Nicole L George, APRN
• Jakeya Geter, LPN
• Getwell Chiropractic PC (Healthsource of Southaven)

• Home Health Agency in Southaven, MS
• Providers in Southaven, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.