Organization Active NPI

Genesis Respiratory Services Inc

  • Durable Medical Equipment & Medical Supplies
  • West Union, OH
National Provider Identifier
1679696934
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENESIS RESPIRATORY SERVICES INC
Practice address
11756 State Route 41
West Union, OH 45693-8025
Phone
(937) 544-2783
Fax
(937) 544-8918
NPI assigned
Apr 9, 2007
Organization subpart
Yes
Parent organization
GENESIS RESPIRATORY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Lawrence Conn
Title
Vice President
Phone
(740) 456-4363

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X HMER.22251 OH
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

11756 State Route 41
West Union, OH 45693-8025

Mailing address

11756 State Route 41
West Union, OH 45693-8025
Phone (937) 544-2783

Other identifiers 1

IdentifierTypeStateIssuer
0054910MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930020329 OH DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 2769509173 Practice locations: West Union, OH

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Genesis Respiratory Service Inc11756 State Route 41, West Union, OH 45693-8025(937) 544-2783 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equi… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Genesis Respiratory SVC11 organizations share this tax ID, including this one
Part of
Genesis Respiratory SVC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11756 State Route 41
West Union, OH 45693
Phone (937) 544-2783

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1679696934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11756 STATE ROUTE 41",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938025",
            "telephone_number": "937-544-2783",
            "fax_number": "937-544-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11756 STATE ROUTE 41",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938025",
            "telephone_number": "937-544-2783",
            "fax_number": "937-544-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RESPIRATORY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS RESPIRATORY SERVICES INC",
        "enumeration_date": "2007-04-09",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-456-4363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMER.22251",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.