Organization Active NPI

Genesis Home Health LLC

  • Home Health Agency
  • Yale, OK
National Provider Identifier
1174873319
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1376831396 Issued in OK
Legal business name
GENESIS HOME HEALTH LLC
Practice address
110 N D St
Yale, OK 74085-3554
Phone
(918) 387-2233
Fax
(888) 851-6045
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mrs. Katina Charlene Minney, RN
Title
Administrator
Phone
(918) 387-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1376831396 OK Primary

Addresses

Primary practice location

110 N D St
Yale, OK 74085-3554

Mailing address

110 N D St
PO Box 66
Yale, OK 74085-3554
Phone (918) 387-2233

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2052131Genesis Home Health, LLC110 N D, Yale, OK 74085Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1174873319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N D ST",
            "address_2": "PO BOX 66",
            "city": "YALE",
            "state": "OK",
            "postal_code": "740853554",
            "telephone_number": "918-387-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N D ST",
            "city": "YALE",
            "state": "OK",
            "postal_code": "740853554",
            "telephone_number": "918-387-2233",
            "fax_number": "888-851-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MINNEY",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-387-2233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "1376831396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yale, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.