Genesis Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENESIS ASSISTED LIVING LLC

Practice address

1019 Madison St S
Shakopee, MN 55379-2056

Phone

(952) 600-7337

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Joan Misoi

Title

Manager

Phone

(952) 465-7877

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1215635198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 158TH ST W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MADISON ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792056",
            "telephone_number": "952-600-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "MISOI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-465-7877"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Gadow, DC
• Devona Garcia-Lord, PSY.D., LP
• Gina Marvene Garrett, MSW, LICSW
• Lisa J Gears, MD
• Lydia Geary, MSOT
• Gentle Dentistry of Minnesota, LTD
• Megan Ghant
• Diana Renee Ghekiere, PTA
• Megan Giesen, M.A.
• David Gilman, LADC

• Assisted Living Facility in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.