Organization Active NPI

Gencare Services

  • In Home Supportive Care Agency
  • Mansfield, TX
National Provider Identifier
1548535495
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENCARE SERVICES
Practice address
4604 Ridgeway Dr
Mansfield, TX 76063-8611
Phone
(781) 913-7573
NPI assigned
Mar 11, 2012
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Ms. Genvieve Eliza Brent
Title
Ceo
Phone
(682) 518-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4604 Ridgeway Dr
Mansfield, TX 76063-8611

Mailing address

4604 Ridgeway Dr
Mansfield, TX 76063-8611
Phone (781) 913-7573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1548535495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 RIDGEWAY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638611",
            "telephone_number": "781-913-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 RIDGEWAY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638611",
            "telephone_number": "781-913-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-11",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "GENVIEVE",
        "authorized_official_middle_name": "ELIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-518-9252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.