Genesee Community Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENESEE COMMUNITY SERVICES, LLC

Practice address

36100 Genesee Lake Rd
Oconomowoc, WI 53066-9201

Phone

(262) 569-5510

Fax

(262) 569-5513

NPI assigned

Jan 22, 2016

Organization subpart

No

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

Authorized official

Name

Kelly Blaschko

Title

Director

Phone

(262) 569-5510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1679930655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 GENESEE LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669201",
            "telephone_number": "262-569-5510",
            "fax_number": "262-569-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 GENESEE LAKE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669201",
            "telephone_number": "262-569-5510",
            "fax_number": "262-569-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "BLASCHKO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-569-5510"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Garcia
• Kathleen E. Garvey, M.D.
• Katherine Elizabeth Gatlin, LPC
• Terrence J Gaynor, M.D.
• Renee Denise Gehring, RN, RCS
• Genoa Healthcare LLC
• Heather Gershteyn, PHARM.D.
• Firas Ghanem, M.D.
• Karalyn Ginster
• Jeffery N Glaspy, MD

• Community/Behavioral Health Agency in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.