Genesis National Alliance LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

GENESIS NATIONAL ALLIANCE LLC

Doing business as

FirstLight Home Care of Boardman-Warren

Practice address

4390 Mahoning Ave
Youngstown, OH 44515

Phone

(330) 318-3234

Fax

(330) 319-7889

NPI assigned

Dec 24, 2013

Last updated

Feb 6, 2020By 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

Michael Robert Senchak

Title

Owner

Phone

(330) 318-3234

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FirstLight Home Care of Boardman-Warren Doing business as

Locations

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1194146829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-318-3234",
            "fax_number": "330-319-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-318-3234",
            "fax_number": "330-319-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NATIONAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "SENCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-318-3234"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209270",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care of Boardman-Warren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.