GENESIS IN HOME CARE LLC NPI 1972110310

NPI Information

NPI: 1972110310
Provider Name: GENESIS IN HOME CARE LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
4711 GOODFELLOW BLVD
SAINT LOUIS, MO
ZIP 63120
Phone: (314) 389-1943
Get Directions

GENESIS IN HOME CARE LLC is a respite care in Saint Louis, MO. GENESIS IN HOME CARE LLC NPI is 1972110310. The provider is registered as an organization entity type.

The provider's business location address is:

4711 GOODFELLOW BLVD
SAINT LOUIS, MO
ZIP 63120-516
Phone: (314) 389-1943
Fax: (314) 389-7117

The provider's authorized official is Kimberly Allen .
The authorized official title is Owner and has the following contact phone number (314) 389-1943.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 9/29/2020.

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	251E00000X	Home Health				No
2	385H00000X	Respite Care				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	M285822805	MEDICAID	MISSOURI
2	1029217357	MEDICAID	MISSOURI

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

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.

« Previous NPI

Next NPI »