GENESIS HOMECARE, INC. (NPI# 1861490575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861490575 |
| Entity Type | Organization |
| Organization Name | GENESIS HOMECARE, INC. |
| Practice Address |
116 E Heritage Dr Tyler TX 75703-5155 |
| Practice Telephone | 9035093374 |
| Practice Fax Number | 9035093380 |
| Mailing Telephone | 9035093374 |
| Mailing Fax Number | 9035093380 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHANIE C SMITSON (PRESIDENT) |
| Authorized Official Telephone | 9035093374 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 002424 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD TX | HH9404 | 01 |
| Street Address |
116 E HERITAGE DR |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811233703 | Matthew H Montgomery | Chiropractor | 116 E Heritage Dr, Suite 105, Tyler, TX 75703-5150 | 2012-12-20 |
| 1518167964 | Amerimed Home Equipment, LLC | Durable Medical Equipment & Medical Supplies | 116 E Heritage Dr, Tyler, TX 75703-5150 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797760 | New Creative In Home Care | Home Health | 6011 Wilshire Dr, Tyler, TX 75703-4162 | 2020-10-13 |
| 1821588906 | Gerald Langston | Home Health | 1731 S Beckham Ave, Tyler, TX 75701-4436 | 2018-05-15 |
| 1942709464 | Rose Elia | Home Health | 5130 Chadbourne St, Tyler, TX 75703-5609 | 2018-02-10 |
| 1669994471 | Lhcg Cxii, LLC | Home Health | 821 E Southeast Loop 323 Ste 560, Tyler, TX 75701-9667 | 2017-07-13 |
| 1578085635 | Civplus Care LLC | Home Health | 4200 Old Omen Rd Apt 2202, Tyler, TX 75707-2146 | 2017-07-11 |
| 1285174292 | Heaton Health Services Agency LLC | Home Health | 1820 Shiloh Rd Ste 1503, Tyler, TX 75703-2459 | 2017-02-24 |
| 1952846628 | Spero Healthcare Services | Home Health | 6003 Old Bullard Rd, 145, Tyler, TX 75703-4235 | 2017-01-04 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1356731376 | Pf Total Adult & Beauty Health Agency | Home Health | 11408 Hwy 64 W, Tyler, TX 75704-6928 | 2015-01-29 |
| Find all providers in TYLER | ||||
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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.