NPIMap

Organization Active NPI

Genesis Home Care Services, LLC

  • Clinical Medical Laboratory
  • Gainesville, FL
National Provider Identifier
1366196917
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENESIS HOME CARE SERVICES, LLC
Practice address
901 NW 8TH Ave Ste B8
Gainesville, FL 32601-5089
Phone
(352) 226-4876
Fax
(352) 557-0250
NPI assigned
Feb 11, 2022
Organization subpart
Yes
Parent organization
GENESIS HOME CARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mr. Jaivelle O Speed-Strong
Title
Administrator
Phone
(352) 226-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

901 NW 8TH Ave Ste B8
Gainesville, FL 32601-5089

Mailing address

901 NW 8TH Ave Ste B8
Gainesville, FL 32601-5089
Phone (352) 226-4876

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL genesiscarefl@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Genesis Home Care Services LLC2 organizations share this tax ID, including this one
Part of
Genesis Home Care Services LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1366196917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE B8",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015089",
            "telephone_number": "352-226-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE B8",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015089",
            "telephone_number": "352-226-4876",
            "fax_number": "352-557-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HOME CARE SERVICES LLC",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "SPEED-STRONG",
        "authorized_official_first_name": "JAIVELLE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-226-4879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "genesiscarefl@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "901 NW 8th Ave Ste B8",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326015089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

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