Genesis Adult Family Home Llc

LBN: Genesis Adult Family Home Llc
Genesis Adult Family Home Llc is an health care organization with primary practice located at 3315 W Burgundy Ct , Mequon WI 53092-5202. The organization recently has 4 registered licenses in different health care specialties including Agencies / Nursing Care, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Nursing Care, Pediatric. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness is the primary health care specialty. Genesis Adult Family Home Llc can be contacted via phone (262) 853-1344, or through Boone, Wanda via phone (262) 853-1344.

Contact Information

Primary practice address
3315 W Burgundy Ct Mequon WI 53092-5202
Phone: (262) 853-1344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boone, Wanda
Phone: (262) 853-1344

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X

Profile Details

NPI number 1831974955
LBN Legal business name Genesis Adult Family Home Llc
DBA Doing business as
Authorized official Boone, Wanda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2023
Last updated Aug 28th, 2023 - about last year

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.

Request for update

Popular Providers