Organization Active NPI

Genesis Global Network

  • Oxygen Equipment & Supplies (DME)
  • Little Rock, AR
National Provider Identifier
1366746430
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
BL00096923 Issued in AR
Legal business name
GENESIS GLOBAL NETWORK
Practice address
10515 W Markham St # H8
Little Rock, AR 72205-2139
Phone
(501) 626-6090
NPI assigned
Jan 5, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Ms. Verliea Watson
Title
President
Phone
(501) 626-6090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 00000000 AR
Oxygen Equipment & Supplies (DME) 332BX2000X BL00096923 AR Primary
Non-emergency Medical Transport (VAN) 343900000X BL00096923 AR

Addresses

Primary practice location

10515 W Markham St # H8
Little Rock, AR 72205-2139

Mailing address

10515 W Markham St # H8
Little Rock, AR 72205-2139

Other identifiers 1

IdentifierTypeStateIssuer
1366746430MedicaidAR

National Provider Directory

National Provider Directory

Locations

10515 W Markham St
Ste H8
Little Rock, AR 72205
Phone (501) 626-6090

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1366746430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST # H8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST # H8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052139",
            "telephone_number": "501-626-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS GLOBAL NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "VERLIEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-626-6090",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "00000000",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "BL00096923",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AR",
            "license": "BL00096923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366746430",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.