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GENESIS NATIONAL ALLIANCE LLC NPI 1194146829


NPI Information

NPI: 1194146829
Provider Name: GENESIS NATIONAL ALLIANCE LLC

Doing Business As: FIRSTLIGHT HOME CARE OF BOARDMAN-WARREN

Classification: Home Health Aide - 374U00000X
Entity Type: Organization

CLIA Number: 36D2213388

Address:
4390 MAHONING AVE
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 318-3234
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GENESIS NATIONAL ALLIANCE LLC is a home health aide in Youngstown, OH. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. GENESIS NATIONAL ALLIANCE LLC NPI is 1194146829. The provider is registered as an organization entity type.
The provider Is Doing Business As Firstlight Home Care Of Boardman-warren.

The provider's business location address is:

4390 MAHONING AVE
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 318-3234
Fax: (330) 319-7889

The provider's authorized official is Michael Robert Senchak .
The authorized official title is Owner and has the following contact phone number (330) 318-3234.

The CLIA number assigned to this NPI record is 36D2213388 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2013 and was last updated on 2/6/2020.


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
1251E00000XHome HealthNo
2374U00000XHome Health AideYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10209270MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.