Provider Demographics
NPI:1306381199
Name:GENUINE LOVING CARE LLC
Entity Type:Organization
Organization Name:GENUINE LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KYRA
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:CMA(AAMA)
Authorized Official - Phone:330-208-8301
Mailing Address - Street 1:2130 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-2218
Mailing Address - Country:US
Mailing Address - Phone:330-208-8301
Mailing Address - Fax:
Practice Address - Street 1:2130 8TH ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44704-2218
Practice Address - Country:US
Practice Address - Phone:330-208-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2343518251C00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services