Provider Demographics
NPI:1568757334
Name:GENESYS HEALTH ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GENESYS HEALTH ENTERPRISES, INC.
Other - Org Name:GENESYS HEALTH EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-606-7282
Mailing Address - Street 1:1000 HEALTH PARK BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9936
Mailing Address - Country:US
Mailing Address - Phone:810-603-8900
Mailing Address - Fax:810-606-5255
Practice Address - Street 1:8220 S. SAGINAW
Practice Address - Street 2:SUITE 1000
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439
Practice Address - Country:US
Practice Address - Phone:810-694-4391
Practice Address - Fax:810-694-4674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENESYS HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-09
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI01002735OtherHEALTH PLUS OF MICHIGAN
MI1583785 TYPE 87Medicaid
MI540B518880OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI01002744OtherHEALTH PLUS OF MICHIGAN
MI0981305OtherHEALTH PLUS OF MICHIGAN
MI540B518680OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI540B50435OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0981305OtherHEALTH PLUS OF MICHIGAN
MI0373650002Medicare NSC
MI1583785 TYPE 87Medicaid