GENESIS HOME HEALTH SERVICES, INC.- PCA (NPI# 1386159648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386159648 |
| Entity Type | Organization |
| Organization Name | GENESIS HOME HEALTH SERVICES, INC.- PCA |
| Practice Address |
2620 Ruby Vista Dr Elko NV 89801-1638 |
| Practice Telephone | 7757537626 |
| Practice Fax Number | 7757537626 |
| Mailing Telephone | 7757537626 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | QUERUBIN IGUBAN (CEO) |
| Authorized Official Telephone | 7757537626 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS HOME HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 173342000194 | 05 |
| Street Address |
2620 RUBY VISTA DR |
| City | ELKO |
| State | NV |
| Zip Code | 89801-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619424165 | Edgar Haro | Physical Therapy Assistant | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2016-09-01 |
| 1851902761 | Reed Vernal Leavitt | Home Health | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2020-08-13 |
| 1285245118 | Hilda Apogbire Bawah | Home Health Aide | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2020-08-13 |
| 1770069270 | Brenna Jolyn Hedstrom | Technician | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2018-07-17 |
| 1235635236 | Kristie Lynn Campbell | Technician | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2018-03-30 |
| 1881198927 | Brenda E Lopez | Technician | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2018-03-22 |
| 1417456435 | Erica Kapua | Technician | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2018-02-05 |
| 1902330574 | Genesis Hospice, LLC | Hospice Care, Community Based | 2620 Ruby Vista Dr, Elko, NV 89801-1638 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
| 1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
| 1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
| 1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
| 1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
| 1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
| 1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
| 1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
| Find all providers in zip 89801 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223521 | Healing Hearts Healthcare LLC | In Home Supportive Care | 6787 W Tropicana Ave Ste 249, Las Vegas, NV 89103-4759 | 2020-10-17 |
| 1205442597 | Prosperity Homecare Services, LLC | In Home Supportive Care | 3232 N Campbell Rd, Las Vegas, NV 89129-6165 | 2020-09-22 |
| 1043825854 | Monty Paul Mccoy | In Home Supportive Care | 264 Mattino Way, Henderson, NV 89074-1434 | 2020-09-09 |
| 1376157495 | Oath Healthcare LLC | In Home Supportive Care | 4547 Dover Straight St, Las Vegas, NV 89115-2109 | 2020-09-04 |
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1164033585 | Devonee's Heart & Soul Healthcare LLC | In Home Supportive Care | 5000 W Oakey Blvd Ste A3-4, Las Vegas, NV 89146-0391 | 2020-08-10 |
| 1124644570 | Rest Asure Homecare LLC | In Home Supportive Care | 2215 Triumph Hills Dr, North Las Vegas, NV 89032-4800 | 2020-06-22 |
| 1154946515 | My Joy Home Care Agency | In Home Supportive Care | 3936 Ruskin St, Las Vegas, NV 89147-6557 | 2020-06-11 |
| 1114541539 | Spahr Personal Care LLC. | In Home Supportive Care | 9108 Little Horse Ave, Las Vegas, NV 89143-5425 | 2020-06-01 |
| 1376167924 | Compassionate Hands LLC | In Home Supportive Care | 7811 Stroh Ln, Las Vegas, NV 89178-8275 | 2020-05-29 |
| Find all providers with the same taxonomy | ||||
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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.