Genesis Nursing Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENESIS NURSING AGENCY LLC

Practice address

509 W. Libra Dr.
Killeen, TX 76542-5771

Phone

(254) 634-1003

Fax

(254) 634-1005

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Feresie A. Isome

Title

Owner

Phone

(254) 371-0934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1447696349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W. LIBRA DR.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425771",
            "telephone_number": "254-634-1003",
            "fax_number": "254-634-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W. LIBRA DR.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425771",
            "telephone_number": "254-634-1003",
            "fax_number": "254-634-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "ISOME",
        "authorized_official_first_name": "FERESIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-371-0934"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Shanyce Gay
• Holly Nicole Gaytan, RN
• Elizabeth Suzanne Gdula, AU.D., CCC-A
• Bethaida Gelabert
• Ronald Gelzer, MD
• Gentle Hands Support Services LLC
• Paul Douglas Gerdes, M.D.
• Cameron James Geringer
• Gabrielle Gibbons
• Alexia Michelle Gibson

• Home Health Agency in Killeen, TX
• Providers in Killeen, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.