# GENESIS HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Home Care Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003618216
- **Authorized official:** FARRAH MICHELLE ALLEN RN (OWNER)
- **Authorized official phone:** (317) 464-9780

## Contact information

- **Practice address:** 11532 LONG LAKE DR, INDIANAPOLIS, IN 46235-6856
- **Practice address phone:** (317) 464-9780
- **Mailing address:** 11532 LONG LAKE DR, INDIANAPOLIS, IN 46235-6856
- **Mailing address phone:** (317) 464-9780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 03/26/2025