Genesis Grace Home Inc

LBN: Genesis Grace Home Inc
Genesis Grace Home Inc is an health care organization with primary practice located at 442 Broadway , Camden NJ 08103-1246. The organization recently has 15 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Hospice Care, Community Based, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Respite Care Facility / Respite Care Camp, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Genesis Grace Home Inc can be contacted via phone (646) 730-0249, or through Awundaga, Evelyn via phone (164) 673-0024.

Contact Information

Primary practice address
442 Broadway Camden NJ 08103-1246
Phone: (646) 730-0249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Awundaga, Evelyn
Phone: (164) 673-0024

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care Camp 385HR2050X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1942803994
LBN Legal business name Genesis Grace Home Inc
DBA Doing business as
Authorized official Awundaga, Evelyn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2020
Last updated Nov 20th, 2020 - about 5 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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