Jenesis Care Homes, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

RC7272-7272 Issued in OK

Legal business name

JENESIS CARE HOMES, INC

Practice address

8234 S Sandusky Ave
Tulsa, OK 74137-1833

Phone

(918) 629-9354

Fax

(832) 487-8009

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy Jackson

Title

President

Phone

(918) 629-9354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1801170139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E READING ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064326",
            "telephone_number": "918-629-9354",
            "fax_number": "832-487-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8234 S SANDUSKY AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371833",
            "telephone_number": "918-629-9354",
            "fax_number": "832-487-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENESIS CARE HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-629-9354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OK",
            "license": "RC7272-7272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Jan Jelley, MD
• Samuel Spencer Jellison, DO
• Priscila Joy Jelsing, DDS
• Jenar Inc (Soft Inc)
• John Richard Jenen, DPH
• Jenifer Nold Counseling
• Alfred D Jenkins, MD
• Amy S Jenkins, ARNP
• Angela Jenkins
• Angela Catherine Jenkins, RN

• Adult Care Home Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Adult Care Home Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.