Provider Demographics
NPI:1902867435
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:48433-9936
Mailing Address - Country:US
Mailing Address - Phone:810-603-8900
Mailing Address - Fax:810-606-5255
Practice Address - Street 1:3909 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-762-4632
Practice Address - Fax:810-762-4427
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENESYS HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-01
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5450413OtherHEALTHPLUS
MIP51893OtherBCN INFUSION
MI1583785 TYPE 87Medicaid
060053OtherHAP
MI2765586 TYPE 50Medicaid
2349024OtherBCBS DRAMS
MI1285OtherBCN
540B50435OtherBCBSM
MIDM250002OtherMCARE
MIP51893OtherBCN INFUSION