MEDICARE: GENESEE HOME HEALTH ASSOCIATES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538952767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESEE HOME HEALTH ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	8323 OFFICE PARK DR STE B
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2068
Country	:	US
Telephone Number	:	810-991-9611
Fax Number	:	810-991-9633

Provider Business Practice Location Address
First Line	:	8323 OFFICE PARK DR STE B
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2068
Country	:	US
Telephone Number	:	810-991-9611
Fax Number	:	810-991-9633

Authorized Official
Title or Position	:	BUSINESS OPERATIONS MANAGER
Name	:	SUMERA MALIK
Credential	:
Telephone Number	:	810-991-9611

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	08/06/2025

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