Genesis Llc

LBN: Genesis Llc
Genesis Llc is an health care organization with primary practice located at 1007 W Broadway Ave , Minneapolis MN 55411-2503. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Genesis Llc can be contacted via phone (952) 221-9987, or through King, Wilma Denise via phone (612) 408-9084.

Contact Information

Primary practice address
1007 W Broadway Ave Minneapolis MN 55411-2503
Phone: (952) 221-9987
Fax: (612) 486-8694
Website:
Map and Directions
Authorized official contact:
Name: King, Wilma Denise
Phone: (612) 408-9084

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1174380463
LBN Legal business name Genesis Llc
DBA Doing business as
Authorized official King, Wilma Denise
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - 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.

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