MEDICARE: GENESIS PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	179130765	AR
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency	177537752	AR

General Provider Information

NPI Number	:	1225354327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS PARTNERS LLC

Provider Business Mailing Address
First Line	:	2815 W WALNUT ST STE B
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-0319
Country	:	US
Telephone Number	:	479-246-0140
Fax Number	:	479-246-0441

Provider Business Practice Location Address
First Line	:	2815 W WALNUT ST STE B
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72756-0319
Country	:	US
Telephone Number	:	479-246-0140
Fax Number	:	479-246-0441

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	HADEN GILDER
Credential	:
Telephone Number	:	501-413-8752

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	05/28/2026

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Directions to “GENESIS PARTNERS LLC ” Practice Location

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