MEDICARE: GENESIS HOME HEALTH SERVICES, 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	009547	TX

General Provider Information

NPI Number	:	1982654562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	8303 WINDFERN RD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77040-1550
Country	:	US
Telephone Number	:	713-937-7494
Fax Number	:	713-937-1985

Provider Business Practice Location Address
First Line	:	8303 WINDFERN RD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77040-1550
Country	:	US
Telephone Number	:	713-937-7494
Fax Number	:	713-937-1985

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. FERDINAND VELASQUEZ
Credential	:
Telephone Number	:	713-937-7494

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	01/16/2008

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