Genesis at Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GENESIS AT HOME LLC

Doing business as

Genesis At Home

Practice address

1027 W Calypso CT
Gilbert, AZ 85233-6769

Phone

(651) 246-7242

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Anthony AghentaNPI 1316084130

Title

President

Phone

(651) 246-7242

Specialties & licenses 1

Addresses

Other names 1

• Genesis At Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Asuelimen Aghenta, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1316084130
  NPD Authorized official

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1346855848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 W CALYPSO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 W CALYPSO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336769",
            "telephone_number": "651-246-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "AGHENTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-246-7242"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryleigh Lynice Geiger
• Eric J Genenbacher
• General Surgery of Payson PLLC
• Generations Family Practice PLLC
• Generations Physical Therapy
• Genesis Living
• Genesis of Peace Integrated Health
• Genoa Healthcare LLC
• Ashley Genovese, RBT
• Alyssa Marie Gentile

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.