Organization Active NPI

Genesis Home Care

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1851115893
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENESIS HOME CARE
Practice address
2552 Pitkin Ave Unit 152
Brooklyn, NY 11208-2498
Phone
(404) 998-9917
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Lawrence K Boateng
Title
Administrator
Phone
(404) 998-9917

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278H0200X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2552 Pitkin Ave Unit 152
Brooklyn, NY 11208-2498

Mailing address

1275 Stoney Field PL
Lawrenceville, GA 30043-3831
Phone (404) 998-9917

Other names 1

  • GENESIS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1851115893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 STONEY FIELD PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433831",
            "telephone_number": "404-998-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 PITKIN AVE UNIT 152",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082498",
            "telephone_number": "404-998-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-998-9917"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENESIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.