Genus Home Care of San Bernardino

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENUS HOME CARE OF SAN BERNARDINO

Practice address

515 N Mountain View Ave
San Bernardino, CA 92401-1207

Phone

(909) 386-1821

Fax

(909) 386-1822

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Janet Haywood

Title

Administrator

Phone

(909) 386-1821

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Genus Home Care of San BernardinoCCN 059014

Ownership

Proprietary

Certified

Aug 16, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Michelle Cottingham, LVN

  • Licensed Practical Nurse
  • Palm Springs, CA
  • NPI 1841603339
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1518021963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 5TH ST STE 212",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011207",
            "telephone_number": "909-386-1821",
            "fax_number": "909-386-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUS HOME CARE OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-386-1821"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "059014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genet G Gebremariam
• Robert Gemmell
• David Patrick Gennis, PSY.D., LMFT
• Marx Genovez, M.D.
• Gentle Touch Medical Supply
• George Mousa MD Prof Inc
• Julie Georgulas
• Gerald Blake, MD
• Itzel A Gerardo Perez
• Joshua Joseph Gernes

• Home Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.