Genesis Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENESIS HOME HEALTH CARE LLC

Practice address

8500 Menaul Blvd NE Ste 550
Albuquerque, NM 87112-1273

Phone

(505) 814-9646

NPI assigned

Mar 3, 2023

Last updated

Aug 15, 2024By 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

Leo NwaokwuNPI 1497098883

Title

Owner/VP

Phone

(512) 287-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184324634. Details of each certification follow.

• CCN 327811 Home health agency · Active · Details

Home health agency certification: CCN 327811

Legal name

GENESIS HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 15, 2024

Last certification

May 21, 2024

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 6, 2022 in NM

Enrollment address

8500 Menaul Blvd NE
Ste B550
Albuquerque, NM 87112-2270

Listed as

Genesis Home Health Care LLCCCN 327811 · All quality measures

Ownership

Proprietary

Certified

Jun 15, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Leo Iwe Nwaokwu, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
  • NPI 1497098883

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leo Iwe Nwaokwu, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
  • NPI 1497098883
  NPD Authorized official

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1184324634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 MENAUL BLVD NE STE 550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121273",
            "telephone_number": "505-593-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 MENAUL BLVD NE STE 550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121273",
            "telephone_number": "505-814-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NWAOKWU",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "512-287-0444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel D Gelinas, PAC
• Theodore B Gellert, PA-C
• Generational Solutions Culture LLC
• Genesis Eldercare Physician Services LLC
• Genesis Healthcare
• Genesis Physician Associates LLC (Internal Medicine and Geriatric Associates)
• Genesis Rehab Services
• Anna Gennari, LMSW
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Home Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.