NPIMap

Organization Active NPI

Genesys Ambulatory Heath Services

  • PACE Provider Organization
  • Flint, MI
National Provider Identifier
1497136188
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
GENESYS AMBULATORY HEATH SERVICES
Practice address
412 E 1St St
Flint, MI 48502-1901
Phone
(810) 236-7500
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Annette Sivertson
Title
Executive Director
Phone
(810) 236-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

412 E 1St St
Flint, MI 48502-1901

Mailing address

412 E 1St St
Flint, MI 48502-1901
Phone (810) 236-7500

Other names 1

  • GENESYS PACE OF GENESEE COUNTY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hillside Center Behavio4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1497136188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS AMBULATORY HEATH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SIVERTSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-236-7500"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESYS PACE OF GENESEE COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.