Provider Demographics
NPI:1073974911
Name:GENEZEN HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:GENEZEN HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DEJESUS
Authorized Official - Last Name:EMPENO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-380-6930
Mailing Address - Street 1:25910 ACERO STE 110
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7938
Mailing Address - Country:US
Mailing Address - Phone:949-380-6930
Mailing Address - Fax:949-446-4700
Practice Address - Street 1:25910 ACERO STE 110
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7938
Practice Address - Country:US
Practice Address - Phone:949-380-6930
Practice Address - Fax:949-446-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health