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General NPI Number Information
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NPI Number | 1437022654
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Entity Type | Organization
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Legal Business Name | HOUSE OF GENESIS ASSITED LIVING LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2709 OAKLAWN BLVD
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City | HOPEWELL
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State | VA
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Zip | 23860-4952
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Country | US
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Telephone | 804-466-3449
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18535
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City | RICHMOND
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State | VA
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Zip | 23226-8535
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Country | US
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Telephone | 540-649-6927
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRENDA GROOMS
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Credential |
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Telephone | 540-649-6927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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