Provider Demographics
NPI:1013536044
Name:GENESIS HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:GENESIS HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SINCLAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:UGBOAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-359-4502
Mailing Address - Street 1:1582 S PARKER RD STE 303
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2717
Mailing Address - Country:US
Mailing Address - Phone:303-359-4502
Mailing Address - Fax:
Practice Address - Street 1:1582 S PARKER RD STE 303
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2717
Practice Address - Country:US
Practice Address - Phone:303-359-4502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health