Provider Demographics
NPI:1275822728
Name:GENIX HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:GENIX HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-226-8759
Mailing Address - Street 1:6701 VICTORY CREST DR # C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3672
Mailing Address - Country:US
Mailing Address - Phone:817-226-8759
Mailing Address - Fax:817-466-8756
Practice Address - Street 1:6701 VICTORY CREST DR # C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3672
Practice Address - Country:US
Practice Address - Phone:817-226-8759
Practice Address - Fax:817-466-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003321251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health