GENESIS5 LLC (NPI# 1629437090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629437090 |
| Entity Type | Organization |
| Organization Name | GENESIS5 LLC |
| Other Organization Name | 5 STAR MEDICAL SUPPLY |
| Practice Address |
7066 Village Parkway Dublin CA 94568 |
| Mailing Address |
7066 Village Pkwy Dublin CA 94568-2408 |
| Practice Telephone | 9253242612 |
| Mailing Telephone | 9253185555 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | ALVIN PONCE (PARTNER) |
| Authorized Official Telephone | 9253242612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 474684618 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| 5 star medical supply | Doing Business As Name - Organization |
| Street Address |
7066 VILLAGE PARKWAY |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438629 | Constance Camman Dds, Ltd | Durable Medical Equipment & Medical Supplies | 7219 Fallmill Rd Ste 205, Dublin, OH 43016-5006 | 2019-07-11 |
| 1104316652 | Hughston Clinic PC | Durable Medical Equipment & Medical Supplies | 100 Medical Dr Ste 400, Dublin, GA 31021-2561 | 2018-05-10 |
| 1841646197 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 525 Metro Pl N Ste 150, Dublin, OH 43017-7310 | 2016-05-05 |
| 1982031068 | Orthopedic One, Inc. | Durable Medical Equipment & Medical Supplies | 6840 Perimeter Dr, Dublin, OH 43016-8047 | 2013-10-03 |
| 1871937854 | Wellcome Technology | Durable Medical Equipment & Medical Supplies | 6937 Village Pkwy, #2650, Dublin, CA 94568 | 2013-04-22 |
| 1891063947 | Extraordinary Private Homecare Services LLC. | Durable Medical Equipment & Medical Supplies | 302 B-1 Ramsey St., Dublin, GA 31021 | 2011-12-05 |
| 1033494216 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 1945 Veterans Blvd, Dublin, GA 31021-3001 | 2011-10-19 |
| 1285913087 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2800 Dublin Blvd, Dublin, CA 94568-4589 | 2011-08-10 |
| 1730488677 | Buysmart Rx-hme Inc | Durable Medical Equipment & Medical Supplies | 1632 Veterans Blvd, Dublin, GA 31021-3587 | 2011-03-17 |
| 1992000749 | Bound Tree Medical | Durable Medical Equipment & Medical Supplies | 5000 Tuttle Crossing Blvd, Dublin, OH 43016-1534 | 2011-01-25 |
| Find all providers in DUBLIN | ||||
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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.