Organization Active NPI

Genesis Care Services,LLC

  • Licensed Vocational Nurse
  • Parkville, MD
National Provider Identifier
1669338562
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
Legal business name
GENESIS CARE SERVICES,LLC
Practice address
12 Willow Creek CT
Parkville, MD 21234-8715
Phone
(940) 279-3119
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Austin Ajuzie Mark, LVN
Title
Owner/Ceo
Phone
(314) 603-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X Primary

Addresses

Primary practice location

12 Willow Creek CT
Parkville, MD 21234-8715

Mailing address

12 Willow Creek CT
Parkville, MD 21234-8715
Phone (940) 279-3119

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1669338562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WILLOW CREEK CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212348715",
            "telephone_number": "940-279-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WILLOW CREEK CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212348715",
            "telephone_number": "940-279-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "AJUZIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "314-603-4194",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.