JENESIS CARE HOMES, INC (NPI# 1801170139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801170139 |
| Entity Type | Organization |
| Organization Name | JENESIS CARE HOMES, INC |
| Practice Address |
8234 S Sandusky Ave Tulsa OK 74137-1833 |
| Mailing Address |
528 E Reading St Tulsa OK 74106-4326 |
| Practice Telephone | 9186299354 |
| Practice Fax Number | 8324878009 |
| Mailing Telephone | 9186299354 |
| Mailing Fax Number | 8324878009 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MR. RANDY JACKSON (PRESIDENT) |
| Authorized Official Telephone | 9186299354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
RC7272-7272 | OK | Nursing & Custodial Care Facilities |
| Street Address |
8234 S SANDUSKY AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74137-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376075051 | Servant Living Center - Beggs, LLC | Custodial Care Facility | 511 N Chippewa, Beggs, OK 74421-2053 | 2017-03-31 |
| 1497294714 | Joyce Faye's House | Custodial Care Facility | 2126 Meench Dr, Moore, OK 73170-7494 | 2017-02-20 |
| 1518312404 | Serenity Residential Home Care | Custodial Care Facility | 1129 N Harvard Ave, Oklahoma City, OK 73127-4021 | 2016-04-28 |
| 1366780280 | A Place Close To Home Adult Day Care | Custodial Care Facility | 12220 S State Highway 51, Coweta, OK 74429-7169 | 2013-01-28 |
| 1457620221 | 202 Haley Inc. | Custodial Care Facility | 2911 N Grand St, Enid, OK 73701-1320 | 2011-12-22 |
| 1699121020 | A Brighter Light Residential Care Home LLC | Custodial Care Facility | 2708 S Hemlock Ave, Broken Arrow, OK 74012-0817 | 2016-05-04 |
| 1841577905 | Spanish Cove Housing Authority | Custodial Care Facility | 11 Palm Ave, Yukon, OK 73099-5645 | 2011-11-03 |
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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.