GENESIS HOME CARE (NPI# 1962930990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962930990 |
| Entity Type | Organization |
| Organization Name | GENESIS HOME CARE |
| Other Organization Name | GENESIS C& F HOME CARE OF ARKANSAS INC. |
| Practice Address |
304 N 6th St Ste 5 West Memphis AR 72301-3221 |
| Practice Telephone | (901) 281-5718 |
| Mailing Telephone | 9012815718 |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |
| Authorized Official Name | DEETRA INGRAM (OWNER) |
| Authorized Official Telephone | 9012689861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Genesis C& F Home Care of Arkansas Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GENESIS HOME CARE ADULT FAMILY HOME, LLC | 1835 N 200th St, Shoreline, WA 98133 |
| Colorado Business Entities | Genesis Home Care Management Inc. | 7250 W 38th Ave, Wheat Ridge, CO 80033 |
| Connecticut Business Registrations | GENESIS HOME CARE SERVICES LLC | 8 Purdy Rd, Norwalk, CT 06850 |
| Street Address |
304 N 6TH ST STE 5 |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| 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 |
|---|---|---|---|---|
| 1689220816 | Minnie Jean Cooper | In Home Supportive Care | 1985 Kroger Dr Ste C11, West Memphis, AR 72301-1771 | 2019-08-13 |
| 1700430824 | Premierchoice, LLC | In Home Supportive Care | 602 N Missouri St, West Memphis, AR 72301-3148 | 2019-07-26 |
| 1811434590 | Genesis C & F Home Care of Arkansas | In Home Supportive Care | 1985 Kroger Dr Ste 11c, West Memphis, AR 72301-1771 | 2017-01-19 |
| 1952843476 | Angelic Caring Hands Community1 | In Home Supportive Care | 222 W Bond Ave Ste 1, West Memphis, AR 72301-3997 | 2016-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727613 | Arkansas 1st Class Consumer Directed Services LLC | In Home Supportive Care | 825 E Main St Ste I, Blytheville, AR 72315-2599 | 2020-10-15 |
| 1548877574 | Rest Assured Home Care LLC | In Home Supportive Care | 222 Rivendale Dr, West Fork, AR 72774-3208 | 2020-09-24 |
| 1366058570 | Brooke Mcdowell | In Home Supportive Care | 8321 Edmar Pl, North Little Rock, AR 72117-1576 | 2020-09-22 |
| 1891312781 | Tgmae Seven Services, LLC | In Home Supportive Care | 3312 Jeridon Cv, Jonesboro, AR 72404-8196 | 2020-06-26 |
| 1467078725 | Seek Him Enterprises LLC | In Home Supportive Care | 5552 Village Dr, Benton, AR 72019-9466 | 2020-06-23 |
| 1245850023 | Diamond State Personal Care, Inc. | In Home Supportive Care | 240 Skyline Dr Ste 301, Conway, AR 72032-2810 | 2020-04-21 |
| 1326671777 | Village Angels, Inc | In Home Supportive Care | 198 Carmona Rd Ste 12, Hot Springs Village, AR 71909-2919 | 2020-02-13 |
| 1679113583 | Dm Parks Inc., Dba Comfort Keepers | In Home Supportive Care | 5068 N Arkansas Ave, Russellville, AR 72802-8325 | 2020-01-08 |
| 1285279703 | Love & Care Home Care Services LLC | In Home Supportive Care | 229 Lonsdale Cir, Jacksonville, AR 72076-6323 | 2019-11-07 |
| 1609419076 | Luvenia Blair | In Home Supportive Care | 13605 Hansfield Cir, North Little Rock, AR 72117-5366 | 2019-10-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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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.