Provider Demographics
NPI:1467671750
Name:GENESIS & VENUS INC
Entity Type:Organization
Organization Name:GENESIS & VENUS INC
Other - Org Name:BELL AND ME ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-421-2389
Mailing Address - Street 1:12419 BUCKEYE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2649
Mailing Address - Country:US
Mailing Address - Phone:216-295-0841
Mailing Address - Fax:216-231-8187
Practice Address - Street 1:3104 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-5328
Practice Address - Country:US
Practice Address - Phone:216-295-0841
Practice Address - Fax:216-231-8187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENESIS & VENUS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-24
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2670837Medicaid