Organization Active NPI

Genesa Home Healthcare & Companion Agency LLC

  • Home Health Agency
  • Fairless Hills, PA
National Provider Identifier
1104394634
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENESA HOME HEALTHCARE & COMPANION AGENCY LLC
Practice address
164 Lincoln Hwy Ste 202
Fairless Hills, PA 19030-1000
Phone
(845) 616-2842
Fax
(845) 514-2101
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Massa CornehNPI 1558877373
Title
Owner / President
Phone
(917) 570-5063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

164 Lincoln Hwy Ste 202
Fairless Hills, PA 19030-1000

Mailing address

568 Linderman Avenue Ext
Kingston, NY 12401-8602
Phone (845) 616-2842

National Provider Directory

National Provider Directory

Locations

164 Lincoln Hwy
Fairless Hills, PA 19030

164 Lincoln Hwy
Ste 202
Fairless Hills, PA 19030
Phone (845) 616-2842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1104394634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 LINDERMAN AVENUE EXT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124018602",
            "telephone_number": "845-616-2842",
            "fax_number": "845-514-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LINCOLN HWY STE 202",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190301000",
            "telephone_number": "845-616-2842",
            "fax_number": "845-514-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESA HOME HEALTHCARE & COMPANION AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CORNEH",
        "authorized_official_first_name": "MASSA",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "917-570-5063"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.