GENESIS HOME CARE CORPORATION NPI 1285660613

NPI Information

NPI: 1285660613
Provider Name: GENESIS HOME CARE CORPORATION
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
5710 LEE HWY
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 894-6418
Get Directions

GENESIS HOME CARE CORPORATION is a parenteral and enteral nutrition durable medical equipment medical supplies in Chattanooga, TN. GENESIS HOME CARE CORPORATION NPI is 1285660613. The provider is registered as an organization entity type.

The provider's business location address is:

5710 LEE HWY
CHATTANOOGA, TN
ZIP 37421-570
Phone: (423) 894-6418

The provider's authorized official is Barbara Wilson .
The authorized official title is Owner and has the following contact phone number (423) 894-6418.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0000000477	TENNESSEE	Yes
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	0000000477	TENNESSEE	X
3	335E00000X	Prosthetic/Orthotic Supplier		0000000477	TENNESSEE	X

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	3533071	MEDICAID	TENNESSEE
2	2004741	OTHER	TENNESSEE	BLUE CROSS
3	00136837A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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