MEDICARE: GENESIS NATIONAL HEALTHCARE, INC.

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	008554	TX

General Provider Information

NPI Number	:	1902837131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS NATIONAL HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	8323 SOUTHWEST FWY
Second Line	:	#100
City	:	HOUSTON
State	:	TX
Zip	:	77074-1615
Country	:	US
Telephone Number	:	713-933-0429
Fax Number	:

Provider Business Practice Location Address
First Line	:	8323 SOUTHWEST FWY
Second Line	:	#100
City	:	HOUSTON
State	:	TX
Zip	:	77074-1615
Country	:	US
Telephone Number	:	713-933-0429
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	CRAIG BELL
Credential	:
Telephone Number	:	713-933-0427

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2009

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