# GENESIS HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1376831396
- **Authorized official:** MRS. KATINA CHARLENE MINNEY BSN, RN, CDE, CFCN (CO-OWNER/ADMINISTRATOR)
- **Authorized official phone:** (918) 387-2233

## Contact information

- **Practice address:** 625 W BROADWAY AVE, YALE, OK 74085-1503
- **Practice address phone:** (918) 387-2233
- **Practice address fax:** (918) 387-2233
- **Mailing address:** PO BOX 66, YALE, OK 74085-0066
- **Mailing address phone:** (918) 387-2233
- **Mailing address fax:** (918) 387-2233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R 75354 N0021646 | OK | Yes |

## Other

- **Enumeration date:** 07/11/2011
- **Last updated:** 09/11/2024