NPIMap

Organization Active NPI

Genesis Respiratory Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, OH
National Provider Identifier
1588780753
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENESIS RESPIRATORY SERVICES INC
Practice address
920 Veterans Dr Unit C
Jackson, OH 45640-2175
Phone
(740) 286-6737
Fax
(740) 286-0261
NPI assigned
Mar 21, 2007
Last updated
Aug 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS RESPIRATORY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Lawrence Conn
Title
Vice President
Phone
(740) 456-4363

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X HMER.22254 OH
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

920 Veterans Dr Unit C
Jackson, OH 45640-2175

Mailing address

920 Veterans Drive Suite C
Jackson, OH 45640
Phone (740) 286-6737

Other identifiers 1

IdentifierTypeStateIssuer
0053521MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930058716 OH DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2769509173 Practice locations: Jackson, OH

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Genesis Jackson920 Veterans Dr, Jackson, OH 45640-2175(740) 286-6737 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equi… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Genesis Respiratory SVC11 organizations share this tax ID, including this one
Part of
Genesis Respiratory SVC

Other organizations with this tax ID 10

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

Locations

920 Veterans Dr
Unit C
Jackson, OH 45640
Phone (740) 286-6737

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1588780753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 VETERANS DRIVE SUITE C",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-6737",
            "fax_number": "740-286-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 VETERANS DR UNIT C",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402175",
            "telephone_number": "740-286-6737",
            "fax_number": "740-286-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RESPIRATORY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS RESPIRATORY SERVICES INC",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-456-4363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMER.22254",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.