GENESIS HEALTH SYSTEM NPI 1013968262

NPI Information

NPI: 1013968262
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 16D2020479

Address:
2535 MAPLECREST RD
SUITE 4
BETTENDORF, IA
ZIP 52722
Phone: (563) 421-5400
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GENESIS HEALTH SYSTEM is a hospice care community based in Bettendorf, IA. GENESIS HEALTH SYSTEM NPI is 1013968262. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Hospice.

The provider's business location address is:

2535 MAPLECREST RD
SUITE 4
BETTENDORF, IA
ZIP 52722-709
Phone: (563) 421-5400

The provider's authorized official is Doug P. Cropper .
The authorized official title is President And Ceo and has the following contact phone number (563) 421-6510.

The CLIA number assigned to this NPI record is 16D2020479 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/27/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		2002574	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========007	MEDICAID	ILLINOIS
2	0615849	MEDICAID	IOWA
3	161520	MEDICARE ID-TYPE UNSPECIFIED	IOWA	HOSPICE

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: 5/5/2024

NPI Synchronization or Removal

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