Organization Active NPI

Genesis Homehealth Services LLC

  • Home Health Registered Nurse
  • Flint, MI
National Provider Identifier
1528076312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
GENESIS HOMEHEALTH SERVICES LLC
Practice address
1207 N Ballenger Hwy Ste F-3
Flint, MI 48504-7500
Phone
(810) 235-5115
Fax
(810) 235-5115
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gavina Morales Tecson
Title
President/Ceo
Phone
(586) 899-6749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

1207 N Ballenger Hwy Ste F-3
Flint, MI 48504-7500

Mailing address

1207 N Ballenger Hwy Ste F-3
Flint, MI 48504-7500
Phone (810) 235-5115

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528076312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N BALLENGER HWY STE F-3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485047500",
            "telephone_number": "810-235-5115",
            "fax_number": "810-235-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N BALLENGER HWY STE F-3",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485047500",
            "telephone_number": "810-235-5115",
            "fax_number": "810-235-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOMEHEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TECSON",
        "authorized_official_first_name": "GAVINA",
        "authorized_official_middle_name": "MORALES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "586-899-6749",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.