GENESIS FAMILY SUPPORT SERVICES (NPI# 1477619690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477619690 |
| Entity Type | Organization |
| Organization Name | GENESIS FAMILY SUPPORT SERVICES |
| Practice Address |
223 E Magnolia Ave Louisville KY 40208-2025 |
| Mailing Address |
Po Box 3183 Louisville KY 40201-3183 |
| Practice Telephone | 5022247067 |
| Practice Fax Number | 5024480701 |
| Mailing Telephone | 5022247067 |
| Mailing Fax Number | 5024480701 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DONNA A BURKS (PRESIDENT) |
| Authorized Official Telephone | 5022247067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 251C00000X | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 0300108200 | 05 |
| Street Address |
223 E MAGNOLIA AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679827455 | Alpha Family Connections, LLC | Day Training, Developmentally Disabled Services | 223 E Magnolia Ave, Louisville, KY 40208-2025 | 2012-11-01 |
| 1619158847 | Genesis Family Support Services, Inc. | Community/Behavioral Health | 223 E Magnolia Ave, Louisville, KY 40208-2025 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424144 | Dungarvin Kentucky, LLC - Louisville | Day Training, Developmentally Disabled Services | 901 Lily Creek Rd Ste 202, Louisville, KY 40243-2821 | 2020-07-15 |
| 1184245730 | Blu Well of Kentucky LLC | Day Training, Developmentally Disabled Services | 9408 Jo Ct, Louisville, KY 40299-1192 | 2020-05-05 |
| 1710532031 | Reliance of Kentucky LLC | Day Training, Developmentally Disabled Services | 3603 Lenoir Ave, Louisville, KY 40216-1134 | 2019-08-04 |
| 1720647142 | Caring Hands of Kentucky Adult Day and Neurorehab | Day Training, Developmentally Disabled Services | 800 Envoy Cir Ste 101, Louisville, KY 40299-2891 | 2019-06-10 |
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1871836486 | Help At Home, Kentuckey | Day Training, Developmentally Disabled Services | 13277 Obannon Station Way, Louisville, KY 40223-4188 | 2013-04-02 |
| 1881980670 | Guardian Community Living Louisville, LLC | Day Training, Developmentally Disabled Services | 5001 Crown Manor Pl, Suite 200, Louisville, KY 40218-3196 | 2011-06-21 |
| 1215226188 | Quality Care Scl,llc | Day Training, Developmentally Disabled Services | 1033 Hathaway Ave, Louisville, KY 40215-2709 | 2011-03-31 |
| 1588962328 | Guardian Community Living - Kentucky | Day Training, Developmentally Disabled Services | 10503 Timberwood Cir Ste 100, Louisville, KY 40223-5318 | 2011-03-02 |
| 1861650467 | Community Employment | Day Training, Developmentally Disabled Services | 1974 Douglass Blvd, Louisville, KY 40205-1826 | 2008-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
Please comment or provide details below to improve the information on GENESIS FAMILY SUPPORT SERVICES.
| 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.