Provider Demographics
NPI:1083177307
Name:GENIUS HOME CARE, LLC
Entity Type:Organization
Organization Name:GENIUS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOUNT-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-705-2598
Mailing Address - Street 1:101 MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2749
Mailing Address - Country:US
Mailing Address - Phone:757-705-2598
Mailing Address - Fax:
Practice Address - Street 1:101 MORTON AVE
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2749
Practice Address - Country:US
Practice Address - Phone:757-705-2598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health