Healthcare Provider Details

I. General information

NPI: 1659958668
Provider Name (Legal Business Name): GENUINE GROUPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 MAPLE LAWN BLVD # 5659
FULTON MD
20759-2681
US

IV. Provider business mailing address

8115 MAPLE LAWN BLVD # 5659
FULTON MD
20759-2681
US

V. Phone/Fax

Practice location:
  • Phone: 240-249-8100
  • Fax: 888-339-3834
Mailing address:
  • Phone: 240-249-8100
  • Fax: 888-339-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MERON AREGAI
Title or Position: OWNER
Credential:
Phone: 615-410-0744