GENESIS CARELINK (NPI# 1881859544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881859544 |
| Entity Type | Organization |
| Organization Name | GENESIS CARELINK |
| Other Organization Name | GENESIS HOSPICE CARE |
| Practice Address |
705 E Sunflower Road Cleveland MS 38732-1888 |
| Mailing Address |
6341 Highway 51 N Suite 6 Horn Lake MS 38637-2476 |
| Practice Telephone | 6662846092 |
| Practice Fax Number | 6628460115 |
| Mailing Telephone | 6623933414 |
| Mailing Fax Number | 6623933474 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | CHARLINE BRANDON MORRIS (OWNER, ADMINISTRATOR) |
| Authorized Official Telephone | 6628460922 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 118 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770306 | 05 |
| Other Name | Type Code |
|---|---|
| Genesis Hospice Care | Former Legal Business Name - Organization |
| Street Address |
705 E SUNFLOWER ROAD |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-1888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938447 | Trusting Loyal Caring Tlc Homemakers Service | Nursing Care | 59 Noblin Road, Cleveland, MS 38732-9571 | 2018-10-18 |
| 1447764287 | Covenant Life Management, LLC | Nursing Care | 485 Central Ave Ne, Cleveland, TN 37311-5541 | 2017-11-30 |
| 1437552262 | Anita Dooms | Nursing Care | 4735 Walford Rd # 16, Cleveland, OH 44128-5125 | 2014-10-07 |
| 1417365347 | Crystal Waller | Nursing Care | 3040 Charles Carr Pl, Cleveland, OH 44104-4106 | 2014-07-23 |
| 1669892196 | Courtney Speed | Nursing Care | 19101 Shawnee Ave, Cleveland, OH 44119-2715 | 2014-04-23 |
| 1215272703 | Dayna Frost | Nursing Care | 16115 Judson Drive, Cleveland, OH 44128 | 2012-12-10 |
| 1508163502 | Norma J Jimmison | Nursing Care | 3850 Grenville Rd, Cleveland, OH 44118-3734 | 2011-02-28 |
| 1316138431 | John Anthony Powell Sr. | Nursing Care | 697 E 91st St, Cleveland, OH 44108-1232 | 2007-08-05 |
| 1992337752 | Perfect Health Care Services | Nursing Care | 7100 Euclid Ave Ste 220, Cleveland, OH 44103-4038 | 2020-02-10 |
| 1164996286 | Brianna Jackson | Nursing Care | 10531 Garfield Ave, Cleveland, OH 44108-2727 | 2019-01-11 |
| Find all providers in CLEVELAND | ||||
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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.