Provider Demographics
NPI:1518079169
Name:GENOX HOMECARE, LLC
Entity Type:Organization
Organization Name:GENOX HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-IAROCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:855-914-9140
Mailing Address - Street 1:1 BRADFORD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1260
Mailing Address - Country:US
Mailing Address - Phone:800-631-3031
Mailing Address - Fax:914-663-3281
Practice Address - Street 1:125 MASARIK AVE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7250
Practice Address - Country:US
Practice Address - Phone:203-377-5849
Practice Address - Fax:203-386-9689
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANDAUER HEALTHCARE HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004021267Medicaid
CT0253070001Medicare NSC