MEDICARE: GENESYS HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	0079776	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609127018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESYS HOME CARE, INC.

Provider Business Mailing Address
First Line	:	28955 OAKMONT DR
Second Line	:
City	:	CHESTERFIELD
State	:	MI
Zip	:	48051-3659
Country	:	US
Telephone Number	:	248-809-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	28955 OAKMONT DR
Second Line	:
City	:	CHESTERFIELD
State	:	MI
Zip	:	48051-3659
Country	:	US
Telephone Number	:	248-809-3711
Fax Number	:	586-203-2814

Authorized Official
Title or Position	:	OWNER
Name	:	MS. PAULETTE BLACKWELL
Credential	:
Telephone Number	:	248-508-2912

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	12/13/2023

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Directions to “GENESYS HOME CARE, INC. ” Practice Location

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