Genesis Homes of Jackson Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AF380246001 Issued in MI

Legal business name

GENESIS HOMES OF JACKSON INC.

Practice address

6853 Hague Ave
Jackson, MI 49201-8334

Phone

(517) 782-3280

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By 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

Ms. Shelly S Keinath

Title

President

Phone

(517) 782-3280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1225366313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 HAGUE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018334",
            "telephone_number": "517-782-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 HAGUE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018334",
            "telephone_number": "517-782-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOMES OF JACKSON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "KEINATH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-782-3280",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF380246001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devynn Lorraine Geisenhaver
• Elizabeth Geisler, MSW
• Michael Barry Gellis, M.D.
• Gems of Jackson Child Care & Education Center LLC (Gems of Jackson Child Care & E)
• Deanna Genco
• Genoa Healthcare LLC
• Anthony Edward Gensterblum, PHD
• John Frederick Gentile, D.O.
• Ruth Bel Genyk, MA, LMSW, LMFT
• Geoffrey Reeves D.D.S.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jackson, MI
• Providers in Jackson, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.