Organization Active NPI

Genesis Loving Care LLC

Doing business as Genesis loving care

  • Home Health Agency
  • Middleburg, FL
National Provider Identifier
1629828371
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENESIS LOVING CARE LLC
Practice address
2682 Tuscarora Trail
Middleburg, FL 32068-6670
Phone
(229) 406-0774
NPI assigned
Mar 25, 2024
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Nikisha Brown
Title
Cna
Phone
(229) 406-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2682 Tuscarora Trail
Middleburg, FL 32068-6670

Mailing address

2682 Tuscarora Trail
Middleburg, FL 32068-6670
Phone (229) 406-0774

Other practice location 1

6625 Argyle Forest Blvd Ste 41029
Jacksonville, FL 32244-6670
Phone (229) 406-0774

Other names 1

  • Genesis loving care Former legal business name

National Provider Directory

National Provider Directory

Locations

6625 Argyle Forest Blvd
Ste 41029
Jacksonville, FL 32244
Phone (229) 406-0774

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1629828371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 TUSCARORA TRAIL",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686670",
            "telephone_number": "229-406-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 TUSCARORA TRAIL",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686670",
            "telephone_number": "229-406-0774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 Argyle Forest Blvd Ste 41029",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322446670",
            "country_code": "US",
            "telephone_number": "229-406-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS LOVING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-06-13",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NIKISHA",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "229-406-0774"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis loving care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis loving care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Genesis loving care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.