GENESIS 365 CARE LLC (NPI# 1164908794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164908794 |
| Entity Type | Organization |
| Organization Name | GENESIS 365 CARE LLC |
| Practice Address |
114 Fuller St # 1 Dorchester MA 02124 |
| Mailing Address |
114 Fuller St # 1 Dorchester MA 02124-3735 |
| Practice Telephone | 6178250717 |
| Mailing Telephone | 6178250717 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | ROSE MARIE VANCOL (OWNER) |
| Authorized Official Telephone | 6178250717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
114 FULLER ST # 1 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| 1649626847 | Ifeoma Alexandria Obiora | Registered Nurse | 2 Lyford St, Boston, MA 02124 | 2016-05-06 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366817322 | Evelka Wynetta Rankins | Home Health Aide | 76 Leonard St, Dorchester, MA 02122-2716 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912394 | Angel Visiting Hands Healthcare Services | Home Health Aide | 16 Berwick St, Lowell, MA 01852-4908 | 2020-11-03 |
| 1083212674 | Nursing On Demand, LLC | Home Health Aide | 405 Concord Ave Unit 378, Belmont, MA 02478-7818 | 2020-10-15 |
| 1841814878 | Niva D Scott | Home Health Aide | 40 Claflin Rd, Brookline, MA 02445-4649 | 2020-06-05 |
| 1912528159 | Sheri Raymond | Home Health Aide | 2 Clinton St Apt B, Haverhill, MA 01830-5913 | 2020-04-28 |
| 1215577333 | Kevin Alleyne | Home Health Aide | 138 Mount Vernon St, Fitchburg, MA 01420-2555 | 2020-01-07 |
| 1356980924 | Marie Rose St Pierre | Home Health Aide | 18 Sunnyside St, Hyde Park, MA 02136-1622 | 2019-12-31 |
| 1841835899 | Annet Kemirembe | Home Health Aide | 12436 Main Campus Dr, Lexington, MA 02421-8642 | 2019-11-14 |
| 1184267437 | Nadine Bernadel | Home Health Aide | 261 Whiting Ave, Dedham, MA 02026-3146 | 2019-10-18 |
| 1841832136 | Niki Dawson | Home Health Aide | 39 Belmont St # 3r, Ludlow, MA 01056-1914 | 2019-10-08 |
| 1336780733 | Kerline Exantus | Home Health Aide | 1 Addison Ave, Lynn, MA 01902-1131 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.