Gencare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GENCARE, LLC

Practice address

200 W 1St St Ste 192
Suite 192
Farmington, MO 63640-2521

Phone

(573) 701-9191

Fax

(573) 701-9190

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Terry L Hicks, RPSGT

Title

Managing Partner

Phone

(573) 701-9191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1699900100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 192",
            "address_2": "SUITE 192",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402521",
            "telephone_number": "573-701-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST STE 192",
            "address_2": "SUITE 192",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402521",
            "telephone_number": "573-701-9191",
            "fax_number": "573-701-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING  PARTNER",
        "authorized_official_telephone_number": "573-701-9191",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Marie Gau
• Lisa Ann Gault
• Kassahun Gebreselase
• Michael Gehrke
• Christine Marie Geile, PT
• Genoa Healthcare LLC
• Kami Leigh Gibson, FNP
• Zachary Gibson
• Holli Gillam
• Stacey Nicole Gillette, LCSW

• Durable Medical Equipment & Medical Supplies in Farmington, MO
• Providers in Farmington, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.