Provider Demographics
NPI:1740173384
Name:GENESIS CAREGIVING LLC
Entity type:Organization
Organization Name:GENESIS CAREGIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAMMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-458-9395
Mailing Address - Street 1:2700 PATRIOT BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8021
Mailing Address - Country:US
Mailing Address - Phone:224-458-9395
Mailing Address - Fax:
Practice Address - Street 1:2700 PATRIOT BLVD STE 250
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8021
Practice Address - Country:US
Practice Address - Phone:224-458-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty