Genesis History Maker Community Development Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GENESIS HISTORY MAKER COMMUNITY DEVELOPMENT CORPORATION

Practice address

708 E Elms Rd
Killeen, TX 76542-6032

Phone

(866) 259-9691

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By 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

Mrs. Antonia Martinez RevellNPI 1528964418

Title

President

Phone

(866) 259-9691

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonia Martinez Revell

  • Case Manager/Care Coordinator
  • Killeen, TX
  • NPI 1528964418
  Authorized official Same address or phone

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1619874476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E ELMS RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426032",
            "telephone_number": "866-259-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E ELMS RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426032",
            "telephone_number": "866-259-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HISTORY MAKER COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "REVELL",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_middle_name": "MARTINEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-259-9691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Shanyce Gay
• Holly Nicole Gaytan, RN
• Elizabeth Suzanne Gdula, AU.D., CCC-A
• Bethaida Gelabert
• Ronald Gelzer, MD
• Genesis Nursing Agency LLC
• Gentle Hands Support Services LLC
• Paul Douglas Gerdes, M.D.
• Cameron James Geringer
• Gabrielle Gibbons

• Case Management Agency in Killeen, TX
• Providers in Killeen, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.