Genesis Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GENESIS CARE

Practice address

2880 E Flamingo Rd Ste D
Las Vegas, NV 89121-5223

Phone

(725) 605-5355

Fax

(702) 920-9201

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Leo Ray Angelo Sarino

Title

Managing Member

Phone

(725) 605-5355

Specialties & licenses 1

Addresses

Other names 1

• Genesis Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291585

Legal name

GENESIS CARE

Doing business as

GENESIS HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 26, 2021

Last certification

Jul 26, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 20, 2018 in NV

Enrollment address

2880 E Flamingo Rd
Ste D
Las Vegas, NV 89121-5223

Listed as

Genesis Hospice CareCCN 291585

Ownership

For-Profit

Certified

Jul 26, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Abdul-Sami Fawad Siddiqui, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1558463836

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abdul-Sami Fawad Siddiqui, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1558463836

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1811459233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 E FLAMINGO RD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215223",
            "telephone_number": "725-605-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E FLAMINGO RD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215223",
            "telephone_number": "725-605-5355",
            "fax_number": "702-920-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "SARINO",
        "authorized_official_first_name": "LEO RAY ANGELO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "725-605-5355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Generations Home Care LLC
• Generations Med Center LLC
• Dwight Duano Generoso, NP
• Genesis Behavioral Health
• Genesis Behavioral LLC
• Genesis Counseling, LLC
• Genesis Integrated Medicine
• Genesis Medical Center LLC
• Genesis Medical Clinic LLC
• Genesis New Beginnings LLC

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.