Active NPI
Genesis Home Health Network LLC
- Home Health Agency
- Waterford, MI
National Provider Identifier
1356957666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GENESIS HOME HEALTH NETWORK LLC
- Practice address
- 1090 W Huron St
Waterford, MI 48328-3733 - Phone
- (248) 830-4625
- Fax
- (248) 716-9092
- NPI assigned
- Sep 22, 2020
- Last updated
- Oct 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul J Gallagher
- Title
- Ceo
- Phone
- (248) 716-9071
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1090 W Huron St
Waterford, MI 48328-3733
Mailing address
1090 W Huron St
Waterford, MI 48328-3733
Phone (248) 830-4625
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Contractor
- Holly, MI
- NPI 1295574556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1356957666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 W HURON ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283733",
"telephone_number": "248-830-4625",
"fax_number": "248-716-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 W HURON ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283733",
"telephone_number": "248-830-4625",
"fax_number": "248-716-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HOME HEALTH NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-22",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-716-9071"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
- Adrian Steven Gaviglio, DOCTOR OF CHIROPRACT
- GBM DME, LLC
- Claire Gebara, NP
- General Orthopedics, PC (Bone and Joint Specialists)
- General Orthopedics, PC (Bone and Joint Specialists)
- Genesys Regional Medical Center (Waterford Teen Health Center)
- Samantha Lynn Genette
- Ralph J Gentile, OD
- Genuine Solutions Counseling Center
- Jewels George, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.