MEDICARE: GENESIS RESTORE HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	3747P1801X	Personal Care Attendant
3	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1386418994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS RESTORE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	5665 ARAPAHO RD APT 827
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3491
Country	:	US
Telephone Number	:	651-233-0937
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 ARAPAHO RD APT 827
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-3491
Country	:	US
Telephone Number	:	651-233-0937
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID NKWONTA
Credential	:
Telephone Number	:	651-233-0937

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

Similar Medicare Providers

1841816790 — DR. FAISAL ABDUL REHMAN DMD
Practice Location Address:

14041 PRESTON RD APT 1506E
DALLAS, TX
75254-3491

Practice Phone: 425-979-8494
Practice Fax:

1629917505 — MRS. SARAH BOYD RINCON MS, RD, LD, CNSC
Practice Location Address:

6022 BLUE MIST LN
DALLAS, TX
75248-2856

Practice Phone: 270-317-0069
Practice Fax:

1134068828 — BRITTANY NORWOOD MA, BCBA, LBA
Practice Location Address:

17194 PRESTON RD STE 101
DALLAS, TX
75248-1203

Practice Phone: 972-928-6327
Practice Fax:

1689522088 — TEXAS GASTROENTEROLOGY ASSOCIATES, PLLC
Practice Location Address:

17110 DALLAS PKWY STE 100C
DALLAS, TX
75248-1167

Practice Phone: 214-714-7008
Practice Fax:

1194670562 — STEPHANIE NEWMAN MS
Practice Location Address:

17177 PRESTON RD STE 140
DALLAS, TX
75248-1235

Practice Phone: 469-340-1116
Practice Fax: 844-496-1266

1932869914 — JONATHAN OLVERA MA
Practice Location Address:

15443 KNOLL TRAIL DR STE 210
DALLAS, TX
75248-6916

Practice Phone: 469-454-8632
Practice Fax:

Directions to “GENESIS RESTORE HOME HEALTHCARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.