Genesis Life, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GENESIS LIFE, LLC

Practice address

406 Winchester Street
West Plains, MO 65775

Phone

(417) 270-0032

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Charles Swift

Title

Owner/Administrator

Phone

(417) 270-0032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1215233580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750528",
            "telephone_number": "417-270-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WINCHESTER STREET",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "417-270-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "417-270-0032"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Garner
• Marissa-Li Garrett
• Kristie L Gast, M.D.
• Kathleen Geery
• Janis Ann Gendron, RN,C
• Sneha George Teressa, M.D
• Angela K. George-Jackson, M.S.
• Achenkunju K George, M.D., F.A.C.C., F.C.
• Marla Rose George, OTR
• Alissa Rayne German, LMT

• Developmentally Disabled Services Day Training Agency in West Plains, MO
• Providers in West Plains, MO by specialty
• Developmentally Disabled Services Day Training Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.