NPIMap

Organization Active NPI

G.H.C. Incorporated

Doing business as Genesis Home Carelink Adult Day Care

  • PACE Provider Organization
  • Cleveland, MS
National Provider Identifier
1407118698
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
1554 Issued in MS
Legal business name
G.H.C. INCORPORATED
Doing business as
Genesis Home Carelink Adult Day Care
Practice address
548 Rosemary Rd Ste C
Cleveland, MS 38732-2075
Phone
(662) 846-7412
Fax
(662) 846-0188
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Ms. Charline K. Brandon, RN
Title
Administration
Phone
(662) 846-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X 1554 MS Primary

Addresses

Primary practice location

548 Rosemary Rd Ste C
Cleveland, MS 38732-2075

Mailing address

PO Box 145
Cleveland, MS 38732-0145
Phone (662) 846-7412

Other names 1

  • Genesis Home Carelink Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesis Home Care Link3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • GHC

    dba Genesis Home Care Link

    • Homemaker
    • Cleveland, MS
    • NPI 1134441850
    NPD tax ID
  • GHC

    dba Genesis Home Care Link

    • Respite Care
    • Cleveland, MS
    • NPI 1710200480
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1407118698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320145",
            "telephone_number": "662-846-7412",
            "fax_number": "662-846-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 ROSEMARY RD STE C",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322075",
            "telephone_number": "662-846-7412",
            "fax_number": "662-846-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.H.C. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "662-846-7412",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MS",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Home Carelink Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.