Provider Demographics
NPI:1144525536
Name:GENESIS HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:GENESIS HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:V
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-823-7175
Mailing Address - Street 1:100 NEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:PRINCEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27886-5328
Mailing Address - Country:US
Mailing Address - Phone:252-823-7175
Mailing Address - Fax:
Practice Address - Street 1:100 NEVILLE ST
Practice Address - Street 2:
Practice Address - City:PRINCEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27886-5328
Practice Address - Country:US
Practice Address - Phone:252-823-7175
Practice Address - Fax:252-823-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health