GENESIS HOME CARE LLC NPI 1225336225

NPI Information

NPI: 1225336225
Provider Name: GENESIS HOME CARE LLC
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
2401 N MAIN ST STE D
CLOVIS, NM
ZIP 88101
Phone: (575) 218-3671
Get Directions

GENESIS HOME CARE LLC is a personal care attendant technician in Clovis, NM. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards GENESIS HOME CARE LLC NPI is 1225336225. The provider is registered as an organization entity type.

The provider's business location address is:

2401 N MAIN ST STE D
CLOVIS, NM
ZIP 88101-581
Phone: (575) 218-3671

The provider's authorized official is Renee Marie Chevalier .
The authorized official title is Administrator and has the following contact phone number (575) 218-3671.

The enumeration date for this NPI number is 3/1/2011 and was last updated on 8/3/2016.

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	253Z00000X	In Home Supportive Care		61712	NEW MEXICO	No
2	3747P1801X	Technician	Personal Care Attendant			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	88781038	MEDICAID	NEW MEXICO
2	12855731	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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