Provider Demographics
NPI:1518239599
Name:GENESYS HOME HEALTH & HOSPICE, INC
Entity type:Organization
Organization Name:GENESYS HOME HEALTH & HOSPICE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF CONTINUUM OF CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-603-8690
Mailing Address - Street 1:5445 ALI DRIVE
Mailing Address - Street 2:DEPT 600
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5195
Mailing Address - Country:US
Mailing Address - Phone:810-603-8600
Mailing Address - Fax:
Practice Address - Street 1:5445 ALI DR
Practice Address - Street 2:DEPT 600
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5191
Practice Address - Country:US
Practice Address - Phone:810-603-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI254028251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOE04600MOtherHEALTH PLUS