Provider Demographics
NPI:1912202524
Name:GENII, LLC
Entity Type:Organization
Organization Name:GENII, LLC
Other - Org Name:CARING SENIOR SERVICE OF AMARILLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHINAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-373-8940
Mailing Address - Street 1:1100 S. FILLMORE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-4354
Mailing Address - Country:US
Mailing Address - Phone:806-373-8940
Mailing Address - Fax:
Practice Address - Street 1:1100 S. FILLMORE
Practice Address - Street 2:SUITE 103
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-4354
Practice Address - Country:US
Practice Address - Phone:806-373-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011634253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care