MEDICARE: GENUINE CARE 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1255735478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENUINE CARE LLC

Provider Business Mailing Address
First Line	:	9506 SUMMER RUN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-5381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9506 SUMMER RUN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-5381
Country	:	US
Telephone Number	:	713-935-5775
Fax Number	:

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. MA CORAZON ANN GARCIA
Credential	:	RN
Telephone Number	:	713-935-5775

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	11/10/2016

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Directions to “GENUINE CARE LLC ” Practice Location

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