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
Fax: (812) 858-1001
Website:
Authorized official contact:
Name: Tymchak, Shaun P Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336470616 NPPES
Indiana MEDICAID 201085220A

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