Provider Demographics
NPI:1861770620
Name:GENESIS CARE, INC
Entity type:Organization
Organization Name:GENESIS CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-349-3390
Mailing Address - Street 1:8310 CASTLEFORD ST STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5453
Mailing Address - Country:US
Mailing Address - Phone:713-934-0077
Mailing Address - Fax:713-583-9777
Practice Address - Street 1:8310 CASTLEFORD ST STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5453
Practice Address - Country:US
Practice Address - Phone:713-934-0077
Practice Address - Fax:713-583-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport