Genucare Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENUCARE HOME HEALTH LLC

Practice address

2025 N 3Rd Street
Suite 173
Phoenix, AZ 85004-1484

Phone

(602) 402-6619

NPI assigned

Aug 5, 2022

Last updated

Nov 15, 2024By 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

Jordyn Alexis White

Title

Ceo

Phone

(602) 252-2867

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801523105. Details of each certification follow.

• CCN 037843 Home health agency · Active · Name & address match · Details

Home health agency certification: CCN 037843

Legal name

Genucare Home Health, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 16, 2026

Last certification

Mar 16, 2026

Facility address

2025 North 3rd Street Suite 173
Phoenix, AZ 85004

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1801523105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD STREET",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041484",
            "telephone_number": "602-252-2184",
            "fax_number": "602-252-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD STREET",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041484",
            "telephone_number": "602-402-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUCARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-11-15",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JORDYN",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-252-2867"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wellsky",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6022 W Robin Ln",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853105717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Gentry, ATC
• Joseph A Gentry, PH.D.
• Juliene Clare Gentry, MD
• Millicent Gentry, MD
• Sarah Ann Gentry, M. ED., BCBA
• Genuine Master Pieces Christian Healing Center LLC
• Genx Mobility Group LLC
• Genzyme Corporation
• Chris T Geohas, MD
• George K. Johnson, O.D., P.C.

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.