Provider Demographics
NPI:1376590877
Name:GENVENTURES, INC.
Entity Type:Organization
Organization Name:GENVENTURES, INC.
Other - Org Name:GENESIS HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-421-6513
Mailing Address - Street 1:1803 E. KIMBERLY ROAD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-0000
Mailing Address - Country:US
Mailing Address - Phone:563-421-3300
Mailing Address - Fax:563-421-3304
Practice Address - Street 1:1803 E. KIMBERLY ROAD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-0000
Practice Address - Country:US
Practice Address - Phone:563-421-3300
Practice Address - Fax:563-421-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA52546OtherWELLMARK
IA0211169Medicaid
IL=========004Medicaid
IA0794350002Medicare NSC