Genesis Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENESIS HOME HEALTH LLC

Practice address

9242 W Union Hills Dr Ste 102
Room 7
Peoria, AZ 85382-8219

Phone

(602) 884-6007

Fax

(844) 888-1174

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Christine Lopez, RNNPI 1366164147

Title

Administrator

Phone

(602) 884-6007

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037830

Legal name

GENESIS HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 27, 2023

Last certification

Jun 30, 2023

Organization structure

LLCProprietary

Incorporated

Mar 14, 2022 in AZ

Enrollment address

9242 W Union Hills Dr
Ste 102, RM 7
Peoria, AZ 85382-8219

Listed as

Genesis Home Health LLCCCN 037830

Overall star rating

4 of 5

Ownership

-

Certified

Jul 27, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Christine Lopez, RN

  • Home Health Registered Nurse
  • Peoria, AZ
  • NPI 1366164147
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nicole Barth, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1417497066

  Home health agency

  Care Compare affiliation
• Yehia Mohamed Elebrashi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
  • NPI 1548615875

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1154038727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 W UNION HILLS DR STE 102",
            "address_2": "ROOM 7",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828219",
            "telephone_number": "602-884-6007",
            "fax_number": "844-888-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9242 W UNION HILLS DR STE 102",
            "address_2": "ROOM 7",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828219",
            "telephone_number": "602-884-6007",
            "fax_number": "844-888-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-884-6007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@genesishomehealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9242 W Union Hills Dr Ste 102",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853828219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Gayed, DPT
• Lisa M Gazia, FNP-C
• Ethiopia Gebeyehu, M.D.
• Jacob Gelien, M.S. SLP-CF
• Generational Wellness Behavioral Health Clinic Inc
• Lydia P. Genovese, R.D.
• Heidie M Gentes
• Amanda George, MA, BCBA, LBA
• Jaye Ann George, P.T.
• Georgiana Georgescu, MD

• Home Health Agency in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.