Active NPI
Genesis Homecare, Inc.
- Home Health Agency
- Tyler, TX
National Provider Identifier
1861490575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 002424
- Legal business name
- GENESIS HOMECARE, INC.
- Practice address
- 116 E Heritage Dr
Tyler, TX 75703-5155 - Phone
- (903) 509-3374
- Fax
- (903) 509-3380
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie C Smitson, R.N.
- Title
- President
- Phone
- (903) 509-3374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 002424 | TX | Primary |
Addresses
Primary practice location
116 E Heritage Dr
Tyler, TX 75703-5155
Mailing address
116 E Heritage Dr
Tyler, TX 75703-5155
Phone (903) 509-3374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH9404 | Other | TX | BLUE CROSS/BLUE SHIELD TX |
National Provider Directory
National Provider DirectoryLocations
410 E Commerce St
Jacksonville, TX 75766
Phone (903) 509-3374
116 E Heritage Dr
Tyler, TX 75703
Phone (214) 667-8040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861490575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E HERITAGE DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757035155",
"telephone_number": "903-509-3374",
"fax_number": "903-509-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E HERITAGE DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757035155",
"telephone_number": "903-509-3374",
"fax_number": "903-509-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITSON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-509-3374",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "002424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD TX",
"identifier": "HH9404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- 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.