MEDICARE: RM GENESIS HEALTHCARE

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	302R00000X	Health Maintenance Organization	2930	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	085AM	OTHER	NC	BLUE CROSS BLUE SHIELD
2	617755	OTHER		CIGNA
3	264096200	OTHER	NC	FEDERAL WORKERS COMP
4	42898	OTHER	NC	PARTNERS
5	617755	OTHER	NC	UNITED HEALTH CARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861558512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RM GENESIS HEALTHCARE

Provider Business Mailing Address
First Line	:	4518 W MARKET ST STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1543
Country	:	US
Telephone Number	:	336-235-4022
Fax Number	:	336-235-4023

Provider Business Practice Location Address
First Line	:	4518 W MARKET ST STE A
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1543
Country	:	US
Telephone Number	:	336-235-4022
Fax Number	:	336-235-4023

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. ROOSEVELT JOHN SMITH
Credential	:	DC
Telephone Number	:	336-235-4022

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	11/19/2009

Similar Medicare Providers

1326565904 — HF TRIAD
Practice Location Address:

4518 W MARKET ST STE A
GREENSBORO, NC
27407-1543

Practice Phone: 336-887-9460
Practice Fax:

1871831370 — HF TRIAD LLC
Practice Location Address:

4518 A WEST MARKET STREET
GREENSBORO, NC
27407-1543

Practice Phone: 336-887-9460
Practice Fax:

1518839372 — HAVENPATH SUPPORTIVE LIVING LLC
Practice Location Address:

4518 W MARKET ST STE A
GREENSBORO, NC
27407-1543

Practice Phone: 704-662-5250
Practice Fax:

1104109354 — DAYO PHOENIX
Practice Location Address:

3117 DARDEN RD , UNIT K
GREENSBORO, NC
27407-6758

Practice Phone: 336-772-4390
Practice Fax:

1174192322 — TYANA SYMONE MCLEAN LCSWA
Practice Location Address:

319 S WESTGATE DR STE D
GREENSBORO, NC
27407-1632

Practice Phone: 866-700-1606
Practice Fax:

1659235927 — TIFFANY L BENEDICT
Practice Location Address:

1 CENTERVIEW DR STE 100
GREENSBORO, NC
27407-3712

Practice Phone: 336-858-3474
Practice Fax:

Directions to “RM GENESIS HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.