Provider Demographics
NPI:1801186788
Name:GENIX HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:GENIX HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-9610
Mailing Address - Street 1:8150 BROOKRIVER DR. STE. 303
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-0000
Mailing Address - Country:US
Mailing Address - Phone:469-893-9610
Mailing Address - Fax:214-256-3028
Practice Address - Street 1:8150 BROOKRIVER DR. STE. 303
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-0000
Practice Address - Country:US
Practice Address - Phone:469-893-9610
Practice Address - Fax:214-256-3028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014342251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty