NPIMap

Organization Active NPI

Genesis Adult Care, LLC

  • Health Maintenance Organization
  • Saint Louis, MO
National Provider Identifier
1235397704
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
763 Issued in MO
Legal business name
GENESIS ADULT CARE, LLC
Practice address
8405 Olive Blvd
Saint Louis, MO 63132-2815
Phone
(314) 989-1002
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
June Walker
Title
Owner
Phone
(314) 989-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 763 MO Primary

Addresses

Primary practice location

8405 Olive Blvd
Saint Louis, MO 63132-2815

Mailing address

8405 Olive Blvd
Saint Louis, MO 63132-2815
Phone (314) 989-1002

National Provider Directory

National Provider Directory
Tax ID family
Genesis Adult Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8405 Olive Blvd
Saint Louis, MO 63132
Phone (314) 989-1002

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1235397704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322815",
            "telephone_number": "314-989-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322815",
            "telephone_number": "314-989-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADULT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-989-1002"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.