Healthcare Provider Details

I. General information

NPI: 1821933284
Provider Name (Legal Business Name): GENESIS PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W 11TH ST
PANAMA CITY FL
32401-2377
US

IV. Provider business mailing address

2815 W WALNUT ST
ROGERS AR
72756-0336
US

V. Phone/Fax

Practice location:
  • Phone: 850-201-1842
  • Fax:
Mailing address:
  • Phone: 479-246-0140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CODY GARRISON
Title or Position: COO
Credential: RN
Phone: 870-404-9300