Active NPI
Genesys Home Care, Inc.
- Home Health Agency
- Chesterfield, MI
National Provider Identifier
1609127018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0079776
- Legal business name
- GENESYS HOME CARE, INC.
- Practice address
- 28955 Oakmont Dr
Chesterfield, MI 48051-3659 - Phone
- (248) 809-3711
- Fax
- (586) 203-2814
- NPI assigned
- Sep 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paulette Blackwell
- Title
- Owner
- Phone
- (248) 508-2912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0079776 | MI | Primary |
Addresses
Primary practice location
28955 Oakmont Dr
Chesterfield, MI 48051-3659
Mailing address
28955 Oakmont Dr
Chesterfield, MI 48051-3659
Phone (248) 809-3711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0079776 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
29610 Southfield Rd
Ste 115
Southfield, MI 48076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702425600000",
"number": "1609127018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28955 OAKMONT DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480513659",
"telephone_number": "248-809-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28955 OAKMONT DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480513659",
"telephone_number": "248-809-3711",
"fax_number": "586-203-2814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESYS HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "PAULETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-508-2912",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "0079776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0079776",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.