Organization Active NPI

Genesys Home Care, Inc.

  • Home Health Agency
  • Chesterfield, MI
National Provider Identifier
1609127018
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0079776 Issued in MI
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

Updated by the provider on Dec 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0079776MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.