Organization Active NPI

Gencae House of Care of Texas LLC

  • Exclusive Provider Organization
  • Mansfield, TX
National Provider Identifier
1821312810
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
GENCAE HOUSE OF CARE OF TEXAS LLC
Practice address
4604 Ridgeway Dr
Mansfield, TX 76063-8611
Phone
(682) 518-9252
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Ms. Genevieve Eliza Brent, RN
Title
President/Ceo
Phone
(682) 518-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

4604 Ridgeway Dr
Mansfield, TX 76063-8611

Mailing address

4604 Ridgeway Dr
Mansfield, TX 76063-8611
Phone (682) 518-9252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1821312810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 RIDGEWAY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638611",
            "telephone_number": "682-518-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 RIDGEWAY DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638611",
            "telephone_number": "682-518-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCAE HOUSE OF CARE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "ELIZA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "682-518-9252",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.