GENESIS SERVICES, LLC (NPI# 1962888560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962888560 |
| Entity Type | Organization |
| Organization Name | GENESIS SERVICES, LLC |
| Other Organization Name | GENESIS RENAL CARE |
| Practice Address |
7407 88th St Glendale NY 11385-7951 |
| Practice Telephone | 6469311000 |
| Mailing Telephone | 6469311000 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | NATHAN BRACHFELD (MEMBER) |
| Authorized Official Telephone | 8009755201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
7003284R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesis Renal Care | Doing Business As Name - Organization |
| Street Address |
7407 88TH ST |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-7951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1578947636 | Bio-medical Applications of Arizona LLC | Clinic/Center | 4407 W Peoria Ave, Glendale, AZ 85302-2036 | 2015-07-17 |
| 1437241403 | Glendale Nephrology Services, LLC | Clinic/Center | 1427 S Glendale Ave, Glendale, CA 91205-3313 | 2006-09-28 |
| 1598877490 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16844 N 59th Ave, Glendale, AZ 85306-1118 | 2006-08-31 |
| 1851403752 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5957 W Northern Ave Ste 108, Glendale, AZ 85301-7825 | 2006-08-31 |
| 1316970080 | Midwest Dialysis Center, Inc | Clinic/Center | 400 W Estabrook Blvd, Glendale, WI 53212-1079 | 2006-07-08 |
| Find all providers in GLENDALE | ||||
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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.