Genesis Health And Wellness Llc
LBN: Genesis Health And Wellness Llc
Genesis Health And Wellness Llc is an health care organization with primary practice located at 8211 W State Route 66 , Newburgh IN 47630-2534. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / General Practice, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty.
Genesis Health And Wellness Llc can be contacted via phone (812) 858-1005, or through Tymchak, Shaun P via phone (812) 858-1005.
Contact Information
Primary practice address
8211 W State Route 66
Newburgh IN 47630-2534
Phone: (812) 858-1005
Fax: (812) 858-1001
Website:
Authorized official contact:
Name: Tymchak, Shaun P Doctor of Chiropractic (DC)
Phone: (812) 858-1005
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 08002011A | Indiana |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
Suppliers / Customized Equipment | 332BC3200X | 08002011A | Indiana |
Profile Details
NPI number | 1336470616 |
---|---|
LBN Legal business name | Genesis Health And Wellness Llc |
DBA Doing business as | |
Authorized official | Tymchak, Shaun P Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 26th, 2010 |
Last updated | Aug 30th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336470616 | NPPES |
Indiana | MEDICAID | 201085220A |
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