Organization Active NPI

Genesis in-Home Care, LLC.

  • In Home Supportive Care Agency
  • Auburn Hills, MI
National Provider Identifier
1780087049
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENESIS IN-HOME CARE, LLC.
Practice address
691 N Squirrel Rd Ste 255
Auburn Hills, MI 48326-2863
Phone
(248) 716-9071
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Mr. Roger Duncan
Title
Owner
Phone
(540) 239-5474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

691 N Squirrel Rd Ste 255
Auburn Hills, MI 48326-2863

Mailing address

691 N Squirrel Rd Ste 255
Auburn Hills, MI 48326-2863
Phone (248) 716-9071

Other practice location 1

1090 W Huron St
Waterford, MI 48328-3733
Phone (248) 716-9071

National Provider Directory

National Provider Directory

Locations

691 N Squirrel Rd
Ste 255
Auburn Hills, MI 48326
Phone (248) 716-9071

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1780087049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 N SQUIRREL RD STE 255",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262863",
            "telephone_number": "248-716-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 N SQUIRREL RD STE 255",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262863",
            "telephone_number": "248-716-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283733",
            "country_code": "US",
            "telephone_number": "248-716-9071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS IN-HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-239-5474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.