Genesis

LBN: Genesis
Genesis is an health care organization with primary practice located at 17110 E 51St St , Broken Arrow OK 74012-9279. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is the primary health care specialty. Genesis can be contacted via phone (918) 851-0737, or through Escoe, Joella via phone (918) 851-0737.

Contact Information

Primary practice address
17110 E 51St St Broken Arrow OK 74012-9279
Phone: (918) 851-0737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Escoe, Joella COTA/L
Phone: (918) 851-0737

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 280 Oklahoma
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X OA280 Oklahoma
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 280 Oklahoma

Profile Details

NPI number 1306250675
LBN Legal business name Genesis
DBA Doing business as
Authorized official Escoe, Joella COTA/L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2014
Last updated Jun 16th, 2014 - about 11 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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