Provider Demographics
NPI:1235639931
Name:GENPRO MANAGEMENT LLC
Entity Type:Organization
Organization Name:GENPRO MANAGEMENT LLC
Other - Org Name:GENPRO COORDINATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAYESH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-242-9305
Mailing Address - Street 1:110 CASEY LN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3968
Mailing Address - Country:US
Mailing Address - Phone:267-242-9305
Mailing Address - Fax:
Practice Address - Street 1:110 CASEY LN
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3968
Practice Address - Country:US
Practice Address - Phone:267-242-9305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare