Organization Active NPI

Genesis Nurses LLC

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1366649436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENESIS NURSES LLC
Practice address
8925 Zanzibar LN N
Maple Grove, MN 55311-1249
Phone
(763) 670-3715
Fax
(763) 494-3715
NPI assigned
Jun 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Doreen KalemaNPI 1134326432
Title
Ceo
Phone
(763) 670-3715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8925 Zanzibar LN N
Maple Grove, MN 55311-1249

Mailing address

8925 Zanzibar LN N
Maple Grove, MN 55311-1249
Phone (763) 670-3715

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366649436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 ZANZIBAR LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111249",
            "telephone_number": "763-670-3715",
            "fax_number": "763-494-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 ZANZIBAR LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111249",
            "telephone_number": "763-670-3715",
            "fax_number": "763-494-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NURSES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALEMA",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-670-3715",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.