Active NPI
Genesis in-Home Care, LLC.
- In Home Supportive Care Agency
- Auburn Hills, MI
National Provider Identifier
1780087049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.