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JENESIS CARE HOMES INC NPI 1801170139


NPI Information

NPI: 1801170139
Provider Name: JENESIS CARE HOMES, INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
8234 S SANDUSKY AVE
TULSA, OK
ZIP 74137
Phone: (918) 629-9354
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JENESIS CARE HOMES, INC is an adult care home custodial care facility in Tulsa, OK. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. JENESIS CARE HOMES, INC NPI is 1801170139. The provider is registered as an organization entity type.

The provider's business location address is:

8234 S SANDUSKY AVE
TULSA, OK
ZIP 74137-833
Phone: (918) 629-9354
Fax: (832) 487-8009

The provider's authorized official is Randy Jackson .
The authorized official title is President and has the following contact phone number (918) 629-9354.

The enumeration date for this NPI number is 10/5/2011 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeRC7272-7272OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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