Organization Active NPI

Genesis Homecare, Inc.

  • Home Health Agency
  • Tyler, TX
National Provider Identifier
1861490575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002424 Issued in TX
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HH9404OtherTXBLUE CROSS/BLUE SHIELD TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.