Genesis Residential Living and Home Healthcare, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GENESIS RESIDENTIAL LIVING AND HOME HEALTHCARE, INC.

Practice address

4415 Harrison St Ste 304
Hillside, IL 60162-1905

Phone

(262) 364-4825

NPI assigned

Apr 14, 2026

Last updated

Apr 14, 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

Wanda Brown

Title

Owner

Phone

(262) 364-4825

Specialties & licenses 1

Addresses

Locations

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.

• Wanda Boone

  • Non-emergency Medical Transport (VAN)
  • Mequon, WI
  • NPI 1124609045
  NPD

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1679416507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST STE 304",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 HARRISON ST STE 304",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621905",
            "telephone_number": "262-364-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RESIDENTIAL LIVING AND HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-364-4825"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aide Fonseca, LCSW
• Michelle Nicole Fry, MA, CRC, LPC
• Christopher Fuller, CEP
• Marni Garfinkel, M.S.
• Christian Gaubatz, PT, MPT
• Georgia Home Service LLC
• Iliana Ivanova Georgieva, MPT
• Girasol Counseling and Wellness Center, PLLC
• Shamika Hall
• Nadia Handspike, FNP-BC

• In Home Supportive Care Agency in Hillside, IL
• Providers in Hillside, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.