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General NPI Number Information
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NPI Number | 1184324634
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Entity Type | Organization
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Legal Business Name | GENESIS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 8500 MENAUL BLVD NE STE 550
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1273
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Country | US
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Telephone | 505-814-9646
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 MENAUL BLVD NE STE 550
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1273
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Country | US
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Telephone | 505-593-3113
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Fax |
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Authorized Official
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Title or Position | OWNER/VP
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Name | LEO NWAOKWU
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Credential |
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Telephone | 512-287-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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