# GENESIS INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DivinityCares, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437473303
- **Authorized official:** MS. EDWINA HARMON BUSHNELL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (337) 436-3161

## Contact information

- **Practice address:** 1725 OPELOUSAS ST, LAKE CHARLES, LA 70601-2560
- **Practice address phone:** (337) 436-3161
- **Practice address fax:** (337) 436-3132
- **Mailing address:** 1725 OPELOUSAS ST, LAKE CHARLES, LA 70601-2560
- **Mailing address phone:** (337) 436-3161
- **Mailing address fax:** (337) 436-3132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | LA | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 302F00000X | Exclusive Provider Organization | — | LA | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010