Organization Active NPI

Genesis Home Care, Inc

Doing business as Dba Alpha Genesis Home Care, Inc.

  • Home Health Agency
  • Downey, CA
National Provider Identifier
1689753956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENESIS HOME CARE, INC
Doing business as
Dba Alpha Genesis Home Care, Inc.
Practice address
8109 2ND St
Suite#3
Downey, CA 90241-3623
Phone
(562) 923-3990
Fax
(562) 923-2440
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Gifty Annette Dubois, RN
Title
Administrator, Ceo
Phone
(562) 923-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

8109 2ND St
Suite#3
Downey, CA 90241-3623

Mailing address

8109 2ND St
Suite#3
Downey, CA 90241-3623
Phone (562) 923-3990

Other identifiers 2

IdentifierTypeStateIssuer
HHA07428FMedicaidCA
ZZZ24141ZOtherCABLUE SHIELD PROVIDER NUMB

Other names 1

  • DBA ALPHA GENESIS HOME CARE, INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689753956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 2ND ST",
            "address_2": "SUITE#3",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413623",
            "telephone_number": "562-923-3990",
            "fax_number": "562-923-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 2ND ST",
            "address_2": "SUITE#3",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413623",
            "telephone_number": "562-923-3990",
            "fax_number": "562-923-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "GIFTY ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "562-923-3990",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07428F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ24141Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA ALPHA GENESIS HOME CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • 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.