Genesis Carelink

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

118 Issued in MS

Legal business name

GENESIS CARELINK

Practice address

705 E Sunflower Road
Cleveland, MS 38732-1888

Phone

(666) 284-6092

Fax

(662) 846-0115

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Charline Brandon Morris, RN

Title

Owner, Administrator

Phone

(662) 846-0922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Hospice Care Former legal business name

Tax ID family

Genesis Carelink3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Indianola, MS
  • NPI 1417039389
  NPD tax ID
• Genesis Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Batesville, MS
  • NPI 1992806202
  NPD tax ID

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1881859544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 HIGHWAY 51 N",
            "address_2": "SUITE 6",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372476",
            "telephone_number": "662-393-3414",
            "fax_number": "662-393-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E SUNFLOWER ROAD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321888",
            "telephone_number": "666-284-6092",
            "fax_number": "662-846-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CARELINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "662-846-0922",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Hospice Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ann McClellan Franklin, DOCTOR OF PHARMACY
• Freds Stores of Tennessee Inc (Freds Pharmacy 1266)
• Fusion Vascular, LLC
• G & G Health Services, LLC
• G.H.C. Incorporated (Genesis Home Carelink Adult Day Care)
• Genesis Hospice Care
• Genesis Hospice Care
• Genesis Hospice Care, LLC
• GHC (Genesis Home Care Link)
• GHC (Genesis Home Care Link)

• Nursing Care Agency in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.