Genesis 365 Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

GENESIS 365 CARE LLC

Practice address

114 Fuller St # 1
Dorchester, MA 02124

Phone

(617) 825-0717

NPI assigned

Jul 17, 2018

Last updated

Jul 20, 2018By 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

Rose Marie Vancol

Title

Owner

Phone

(617) 825-0717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1164908794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FULLER ST # 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021243735",
            "telephone_number": "617-825-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FULLER ST # 1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-825-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS 365 CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "VANCOL",
        "authorized_official_first_name": "ROSE MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-825-0717"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Home Health Aide in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.