Genesis Companion Services Llc

LBN: Genesis Companion Services Llc
Genesis Companion Services Llc is an health care organization with primary practice located at 6501 Arlington Expy Ste B105 , Jacksonville FL 32211-0810. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Genesis Companion Services Llc can be contacted via phone (904) 675-0778, or through Scippio, Tanisa via phone (904) 405-5614.

Contact Information

Primary practice address
6501 Arlington Expy Ste B105 Jacksonville FL 32211-0810
Phone: (904) 675-0778
Fax: (904) 212-2591
Website:
Map and Directions
Authorized official contact:
Name: Scippio, Tanisa
Phone: (904) 405-5614

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X Florida
Agencies / Home Health 251E00000X

Profile Details

NPI number 1770977290
LBN Legal business name Genesis Companion Services Llc
DBA Doing business as
Authorized official Scippio, Tanisa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2015
Last updated Jan 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770977290 NPPES
Florida MEDICAID 014096300

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