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General NPI Number Information
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NPI Number | 1518110600
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Entity Type | Organization
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Legal Business Name | GENUINE CARE, INC.
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 35519 23 MILE ROAD
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-3603
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Country | US
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Telephone | 586-725-0005
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Fax | 586-725-1009
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Provider Business Mailing Address
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Address Line | 35519 23 MILE ROAD
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-3603
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Country | US
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Telephone | 586-725-0005
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Fax | 586-725-1009
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | MR. CRAIG T. VANDERBURG
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Credential |
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Telephone | 586-725-0005
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 9541226
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License Number State | MI
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