Provider Demographics
NPI:1003672403
Name:GENESIS HOMEHEALTH CARE & TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GENESIS HOMEHEALTH CARE & TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLINS
Authorized Official - Middle Name:YATAT
Authorized Official - Last Name:LEUGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:161-794-3480
Mailing Address - Street 1:8 BOOK ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4709
Mailing Address - Country:US
Mailing Address - Phone:617-943-4804
Mailing Address - Fax:
Practice Address - Street 1:8 BOOK ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4709
Practice Address - Country:US
Practice Address - Phone:617-943-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty