Genesis Home,LTD.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

5000877 Issued in OH

Legal business name

GENESIS HOME,LTD.

Practice address

3572 S Raccoon Rd
Canfield, OH 44406-9360

Phone

(330) 797-1502

Fax

(330) 797-1502

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By 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

Mrs. Jo Ann Fliotsos

Title

Administrator

Phone

(330) 799-3235

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831316355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 BARRINGTON DR",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155228",
            "telephone_number": "330-799-3235",
            "fax_number": "330-799-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 S RACCOON RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069360",
            "telephone_number": "330-797-1502",
            "fax_number": "330-797-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLIOTSOS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-799-3235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "5000877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateways to Better Living, Inc.
• Gateways to Better Living, Inc.
• Kelcey Jean Gaudet, CASE MANAGER
• Susan Mary Geletka, M.D.
• Christina G Gemma, PAC
• Nichole R George Cannon, LPCC-S
• Rachel George, PTA009666
• Evelyn Elaine Gere
• Janinne Marie Getsy, DC
• Jacob J Giegel, LPC

• Intellectual Disabilities Intermediate Care Facility in Canfield, OH
• Providers in Canfield, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.