Genesis Disability Care Provider Inc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

GENESIS DISABILITY CARE PROVIDER INC

Practice address

1003 Vintage Dr
Leander, TX 78641-2994

Phone

(512) 905-1327

Fax

(512) 337-5644

NPI assigned

Sep 26, 2014

Organization subpart

No

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

Authorized official

Name

Sharon Anita Baker

Title

President

Phone

(512) 905-1327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1952703589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786301841",
            "telephone_number": "512-905-1327",
            "fax_number": "125-337-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 VINTAGE DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412994",
            "telephone_number": "512-905-1327",
            "fax_number": "512-337-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DISABILITY CARE PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-905-1327"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia D Garza, RPH
• Kaylyn Gates
• Marjorie Gavin
• Aleksandar Todorov Gavrilov, DDS
• Jasmine Geer
• Nicole Gerard, LMSW, ACSW
• Angela Christine Geurin, MS
• Electux Salaam Gibbons
• Jordan Elizabeth Gjolberg, OD
• Robyn Allyson Gogue, LMSW

• Foster Care Agency in Leander, TX
• Providers in Leander, TX by specialty
• Foster Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.