Provider Demographics
NPI:1740716505
Name:GENIE HEALTHCARE INC
Entity type:Organization
Organization Name:GENIE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VENKAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NADIPELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-272-2791
Mailing Address - Street 1:104 INTERCHANGE PLZ
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2038
Mailing Address - Country:US
Mailing Address - Phone:216-272-2791
Mailing Address - Fax:732-561-9121
Practice Address - Street 1:104 INTERCHANGE PLZ
Practice Address - Street 2:SUITE 100
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-2038
Practice Address - Country:US
Practice Address - Phone:216-272-2791
Practice Address - Fax:732-561-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO255700251B00000X, 251E00000X, 251F00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care