Geneseis Dreams LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1511936 Issued in OH

Legal business name

GENESEIS DREAMS LLC

Practice address

313 South St
Crestline, OH 44827-1556

Phone

(419) 683-4711

Fax

(419) 683-9911

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna Jean Gregory

Title

President

Phone

(419) 683-4711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609948553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SOUTH ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271556",
            "telephone_number": "419-683-4711",
            "fax_number": "419-683-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SOUTH ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271556",
            "telephone_number": "419-683-4711",
            "fax_number": "419-683-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEIS DREAMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-683-4711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1511936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2624780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Ann Fried, PTA
• Galion Community Hospital (Avita Crestline Pharmacy)
• Galion Community Hospital (GCH Physician Practices, Seltzer Station Campus)
• Galion Community Hospital (GCH Physician Practice)
• GCH Health Services
• Amanda Rene Grunkemeyer
• Sharon Kay Hawk
• Lisa Lynn Heiser, RN
• Tami Hensley
• Maryann Hohman, M. ED.

• Home Health Agency in Crestline, OH
• Providers in Crestline, OH by specialty
• Home Health Agency in Ohio

• 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.