Organization Active NPI

Genysis Restoration, Inc.

  • Case Management Agency
  • Euclid, OH
National Provider Identifier
1164871364
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GENYSIS RESTORATION, INC.
Practice address
27801 Euclid Ave
Suite 458
Euclid, OH 44132-3549
Phone
(216) 299-8789
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Ms. Ethel Yvonne Middlebrooks, MAPC
Title
Pastoral Counselor
Phone
(216) 299-8789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

27801 Euclid Ave
Suite 458
Euclid, OH 44132-3549

Mailing address

27801 Euclid Avenue
Suite 458
Euclid, OH 44132
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.

Locations

27801 Euclid Ave
Ste 458
Euclid, OH 44132
Phone (216) 299-8789

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1164871364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVENUE",
            "address_2": "SUITE 458",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-299-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "SUITE 458",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-299-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENYSIS RESTORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MIDDLEBROOKS",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PASTORAL COUNSELOR",
        "authorized_official_telephone_number": "216-299-8789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 8, 2016; 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.