Genesis New Beginnings L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENESIS NEW BEGINNINGS L.L.C.

Practice address

12713 W Desert Rose Rd
Avondale, AZ 85392-7007

Phone

(216) 789-9116

NPI assigned

Nov 1, 2022

Last updated

Nov 1, 2022By 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

Cheryl Renee JacksonNPI 1104542208

Title

Managing Member

Phone

(216) 789-9116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Renee Jackson

  • Personal Care Attendant
  • Avondale, AZ
  • NPI 1104542208
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1346957115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 W DESERT ROSE RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927007",
            "telephone_number": "216-789-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12713 W DESERT ROSE RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853927007",
            "telephone_number": "216-789-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NEW BEGINNINGS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-789-9116"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Gauna
• Tsigemariam Yohannes Gebremariam
• Lianna Gebru
• Meaghan Geiger
• Emily Claire Gelander
• Genoa Healthcare LLC
• Brittany M George, DPT
• Keshai George
• Whitney Elaine George, PA-C
• Geps Physician Group of Pennsylvania, PC

• Home Health Agency in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.