NPIMap

Organization Active NPI

Genysis Restoration, Incorporated

  • Voluntary or Charitable Agency
  • Euclid, OH
National Provider Identifier
1164806220
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
1867480 Issued in OH
Legal business name
GENYSIS RESTORATION, INCORPORATED
Practice address
27801 Euclid Ave
454
Euclid, OH 44132-3549
Phone
(216) 299-8789
Fax
(866) 926-3348
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Ethel Yvonne Middlebrooks, MA,PC
Title
Founder
Phone
(216) 299-8789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 1867480 OH Primary

Addresses

Primary practice location

27801 Euclid Ave
454
Euclid, OH 44132-3549

Mailing address

27801 Euclid Ave
454
Euclid, OH 44132-3549
Phone (216) 299-8789

National Provider Directory

National Provider Directory
Tax ID family
Genysis Restoration3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1164806220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "454",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-299-8789",
            "fax_number": "866-926-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "454",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-299-8789",
            "fax_number": "866-926-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENYSIS RESTORATION, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "216-299-8789",
        "authorized_official_credential": "MA,PC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "1867480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.