Healthcare Provider Details

I. General information

NPI: 1962927665
Provider Name (Legal Business Name): GENUINE SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 BECK ROAD SUITE 207B
ST. JOSEPH MO
64506
US

IV. Provider business mailing address

3715 BECK RD STE B207
SAINT JOSEPH MO
64506-3684
US

V. Phone/Fax

Practice location:
  • Phone: 816-259-5252
  • Fax:
Mailing address:
  • Phone: 816-259-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BRENT HOFFART
Title or Position: OWNER
Credential:
Phone: 816-259-5252