Healthcare Provider Details

I. General information

NPI: 1710684477
Provider Name (Legal Business Name): GENUINE CARE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 ROCKSIDE RD STE 316
PARMA OH
44134-2749
US

IV. Provider business mailing address

1440 ROCKSIDE RD STE 316
PARMA OH
44134-2749
US

V. Phone/Fax

Practice location:
  • Phone: 216-758-1730
  • Fax:
Mailing address:
  • Phone: 216-758-1730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARKITA JOHNSON
Title or Position: OWNER
Credential:
Phone: 216-527-5005