Genesis Family Support Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENESIS FAMILY SUPPORT SERVICES, INC.

Practice address

223 E Magnolia Ave
Louisville, KY 40208-2025

Phone

(502) 224-7067

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna Burks

Title

President/Ceo

Phone

(502) 224-7067

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Genesis Family Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Genesis Family Support Services

  • Developmentally Disabled Services Day Training Agency
  • Louisville, KY
  • NPI 1477619690
  NPD tax ID

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1619158847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3183",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402013183",
            "telephone_number": "502-224-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAGNOLIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082025",
            "telephone_number": "502-224-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "502-224-7067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29100054",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Gendeman, OTD, OTR/L, SCLV
• Amy Gendron
• Ladonna Genenwein
• Genesis Eldercare Physician Services LLC
• Genesis Family Support Services
• Genesis Medical Inc.
• Genesis Rehab Services
• Genesis Rehab Services
• Genesis Wellness Center PLLC
• Elaine Littlejohn Gennett, ARNP

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.