# GENESIS HOME HEALTH SERVICES, INC.- PCA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS HOME HEALTH SERVICES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386159648
- **Legal business name:** GENESIS HOME HEALTH SERVICES, INC.
- **Authorized official:** QUERUBIN IGUBAN MD (CEO)
- **Authorized official phone:** (775) 753-7626

## Contact information

- **Practice address:** 2620 RUBY VISTA DR, ELKO, NV 89801-1638
- **Practice address phone:** (775) 753-7626
- **Practice address fax:** (775) 753-7626
- **Mailing address:** 2620 RUBY VISTA DR, ELKO, NV 89801-1638
- **Mailing address phone:** (775) 753-7626

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2017
- **Last updated:** 12/08/2017
