Genesis Enterprises Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Genoa, IL
NPI 1871631283 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871631283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 0031906 (IL)
- Legal business name
- GENESIS ENTERPRISES INC
- Practice address
- 350 Sycamore Rd
Genoa, IL 60135-1361 - Phone
- (815) 784-5146
- Fax
- (815) 784-2594
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Desiree Alicia Henderson Sawyer
- Title
- Executive Director
- Phone
- (815) 784-3712
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 0031906 | IL | Yes |
Addresses
Primary practice location
350 Sycamore Rd
Genoa, IL 60135-1361
Mailing address
350 Sycamore Rd
Genoa, IL 60135-1361
Phone (815) 784-3712
Other names
- Genesis House
Other providers in Genoa, IL
- Dr Hilda Hattar DC PC
- Justin Tyler Durancik
- Joshua Benjamin Eriks
- Family First Physicians SC
- Genesis DTC, LLC
- Genoa Kingston Cusd 424
- Genoa-Kingston Fire Protection District
- Umesh P Goswami
- His Glory Transport LLC
- Erah M Hogan
All providers in Genoa, IL · Intellectual Disabilities Intermediate Care Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.