Genesis Extracare, LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

GENESIS EXTRACARE, LLC

Practice address

3500 S Vine Ave
Tyler, TX 75701-8541

Phone

(972) 571-2422

Fax

(903) 509-3380

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Smitson

Title

President

Phone

(903) 571-1779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1184052441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S VINE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018541",
            "telephone_number": "972-571-2422",
            "fax_number": "903-509-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S VINE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018541",
            "telephone_number": "972-571-2422",
            "fax_number": "903-509-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS EXTRACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-571-1779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Larae Genovese, MED/MS/CCC-SLP
• George M. Plotkin, PHD, MD, PA

• Adult Companion in Tyler, TX
• Providers in Tyler, TX by specialty
• Adult Companion in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.