Genesis II Me

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GENESIS II ME

Practice address

12035 Misty Valley Dr
Houston, TX 77066-2736

Phone

(281) 687-2173

Fax

(281) 580-4962

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Renea Coleman Jackson

Title

Ower Director

Phone

(281) 687-2173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1134476617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 MISTY VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662736",
            "telephone_number": "281-687-2173",
            "fax_number": "281-580-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12035 MISTY VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662736",
            "telephone_number": "281-687-2173",
            "fax_number": "281-580-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS II ME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RENEA",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWER DIRECTOR",
        "authorized_official_telephone_number": "281-687-2173"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Family Foundation LLC
• Genesis Family Inc.
• Genesis Genetics Texas
• Genesis Health and Wellness Clinic &Spa, PLLC
• Genesis Home Health Services, Inc.
• Genesis Medical Diagnostics PLLC
• Genesis National Healthcare Inc
• Genesis National Healthcare, Inc.
• Genesis Provider Care Inc.
• Genesis Provider Services LLC

• Respite Care in Houston, TX
• Providers in Houston, TX by specialty
• Respite Care in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.