Genesis Adult Care, LLC
Organization Active NPI Exclusive Provider Organization · Saint Louis, MO
NPI 1144596263 · NPPES record last updated Mar 23, 2012
Key facts
- NPI
- 1144596263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 1007 (MO)
- Legal business name
- GENESIS ADULT CARE, LLC
- Practice address
- 8420 Olive Blvd
Saint Louis, MO 63132-2816 - Phone
- (314) 989-1002
- Fax
- (866) 891-1631
- NPI assigned
- Mar 23, 2012
- Organization subpart
- No
Authorized official
- Name
- June Walker, R.N.
- Title
- Director
- Phone
- (314) 989-1002
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Genesis Adult Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 1007 | MO | Yes |
Addresses
Primary practice location
8420 Olive Blvd
Saint Louis, MO 63132-2816
Mailing address
8420 Olive Blvd
Saint Louis, MO 63132-2816
Phone (314) 989-1002
Other providers in Saint Louis, MO
- General Surgery of St Louis PC
- Generation Clinical Partners Aco, LLC
- Generation Clinical Partners LLC
- Generational Foundations LLC
- Generations Family Medicine PC
- Genesis Adult Care, LLC
- Genesis CDS, L.L.C
- Genesis Christian Counseling, LLC
- Genesis Enterprises Inc
- Genesis Home Care and Therapy Services
All providers in Saint Louis, MO · Exclusive Provider Organization in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.