Genesis Adult Care, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

1007 Issued in 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

Last updated

Mar 23, 2012By 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

June Walker, R.N.

Title

Director

Phone

(314) 989-1002

Specialties & licenses 1

Addresses

Tax ID family

Genesis Adult Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Adult Care, LLC

  • Health Maintenance Organization
  • Saint Louis, MO
  • NPI 1235397704
  NPD tax ID

Locations

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1144596263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322816",
            "telephone_number": "314-989-1002",
            "fax_number": "866-891-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322816",
            "telephone_number": "314-989-1002",
            "fax_number": "866-891-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADULT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-989-1002",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Surgery of St Louis PC
• Generation Clinical Partners Aco, LLC (Generation Clinical Partners ACO)
• 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 Pharmacy Services)
• Genesis Home Care and Therapy Services

• Exclusive Provider Organization in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.