Provider Demographics
NPI:1508168162
Name:GENESIS CARE CENTER
Entity Type:Organization
Organization Name:GENESIS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ADUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-405-2141
Mailing Address - Street 1:6515 NE 44TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-1655
Mailing Address - Country:US
Mailing Address - Phone:816-405-2141
Mailing Address - Fax:
Practice Address - Street 1:6515 NE 44TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-1655
Practice Address - Country:US
Practice Address - Phone:816-405-2141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENESIS CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care