# GENESIS HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184324634
- **Authorized official:** LEO NWAOKWU (OWNER/VP)
- **Authorized official phone:** (512) 287-0444

## Contact information

- **Practice address:** 8500 MENAUL BLVD NE STE 550, ALBUQUERQUE, NM 87112-1273
- **Practice address phone:** (505) 814-9646
- **Mailing address:** 8500 MENAUL BLVD NE STE 550, ALBUQUERQUE, NM 87112-1273
- **Mailing address phone:** (505) 593-3113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 08/15/2024
