Genesis Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GENESIS HOSPICE CARE

Practice address

201 West Sunflower Road
Pob 1888
Cleveland, MS 38732

Phone

(662) 846-0922

Fax

(662) 846-0833

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charline Brandon, RN

Title

Ceo

Phone

(662) 846-0922

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518030337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 HWY 51 NORTH",
            "address_2": "SUITE 6",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "38937",
            "telephone_number": "662-393-3414",
            "fax_number": "662-393-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST SUNFLOWER ROAD",
            "address_2": "POB 1888",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-846-0922",
            "fax_number": "662-846-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-846-0922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04788594",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• G.H.C. Incorporated (Genesis Home Carelink Adult Day Care)
• Genesis Carelink
• Genesis Hospice Care
• Genesis Hospice Care, LLC
• GHC (Genesis Home Care Link)
• GHC (Genesis Home Care Link)
• Lawanda Glass, PMHNP

• Community Based Hospice Care Agency in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• 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.