Genesis Family Support Services

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

251C00000X Issued in KY

Legal business name

GENESIS FAMILY SUPPORT SERVICES

Practice address

223 E Magnolia Ave
Louisville, KY 40208-2025

Phone

(502) 224-7067

Fax

(502) 448-0701

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna A Burks

Title

President

Phone

(502) 224-7067

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Genesis Family Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Genesis Family Support Services, Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1619158847
  NPD tax ID

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477619690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3183",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402013183",
            "telephone_number": "502-224-7067",
            "fax_number": "502-448-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAGNOLIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082025",
            "telephone_number": "502-224-7067",
            "fax_number": "502-448-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-224-7067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KY",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300108200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Genardi, RPH
• Jennifer L Gendeman, OTD, OTR/L, SCLV
• Amy Gendron
• Ladonna Genenwein
• Genesis Eldercare Physician Services LLC
• Genesis Family Support Services, Inc.
• Genesis Medical Inc.
• Genesis Rehab Services
• Genesis Rehab Services
• Genesis Wellness Center PLLC

• Developmentally Disabled Services Day Training Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Developmentally Disabled Services Day Training Agency in Kentucky

• 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.