Genesis Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3525 Issued in NC

Legal business name

GENESIS HOME HEALTH AGENCY

Practice address

6019 Timbertop LN
Charlotte, NC 28215-7507

Phone

(704) 537-0645

Fax

(704) 566-0812

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Terisa Renee Nelson

Title

Ceo, Agency Director

Phone

(704) 537-0645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669546941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 TIMBERTOP LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157507",
            "telephone_number": "704-537-0645",
            "fax_number": "704-566-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 TIMBERTOP LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157507",
            "telephone_number": "704-537-0645",
            "fax_number": "704-566-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TERISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO, AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-537-0645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations of Health Homecare LLC
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• Genesis Finance Corporation
• Genesis of Carolinas Home Care, LLC
• Genesis of Carolinas Home Care, LLC
• Genesis Project 1
• Genesis Project 1, Inc
• Genesis Project 1, Inc.

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• 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.