Active NPI
Genesis Global Network
- Oxygen Equipment & Supplies (DME)
- Little Rock, AR
National Provider Identifier
1366746430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- BL00096923
- 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, 2011
- 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
- Ms. Verliea Watson
- Title
- President
- Phone
- (501) 626-6090
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366746430 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.