Genuwine Personal Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENUWINE PERSONAL CARE, LLC

Practice address

1101 Tyvola Rd
Ste 305
Charlotte, NC 28217-3515

Phone

(704) 302-1840

Fax

(800) 688-0471

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Gaither

Title

Director

Phone

(704) 302-1840

Specialties & licenses 1

Addresses

Tax ID family

Genuwine Personal Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Genuwine Personal Care, LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1699897587
  NPD tax ID
• Genuwinepersonalcare

  • Exclusive Provider Organization
  • Winston Salem, NC
  • NPI 1508902701
  NPD tax ID

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598972143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "address_2": "STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-302-1840",
            "fax_number": "800-688-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD",
            "address_2": "STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "704-302-1840",
            "fax_number": "800-688-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUWINE PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAITHER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-302-1840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Gentry, PHARMD, BCPS, DPLA
• Heather M Gentry, DMD
• Jeana Gentry
• Genuine Care Youth and Adult Services LLC
• Shekinah Starr Genus
• George D Hall, MD
• George D. Hall, MD
• George J Stuart Jr DDS PA
• George L Raad MD Dba (Park Road Medical Clinic)
• Angie Denise George

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• 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.