Provider Demographics
NPI:1801523105
Name:GENUCARE HOME HEALTH LLC
Entity type:Organization
Organization Name:GENUCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORDYN
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-252-2867
Mailing Address - Street 1:2025 N 3RD STREET
Mailing Address - Street 2:SUITE 173
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1484
Mailing Address - Country:US
Mailing Address - Phone:602-252-2184
Mailing Address - Fax:602-252-2184
Practice Address - Street 1:2025 N 3RD STREET
Practice Address - Street 2:SUITE 173
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1484
Practice Address - Country:US
Practice Address - Phone:602-402-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health