# GENESIS HOME HEALTHCARE, LIMITED LIABILITY COMPANY, JACKSO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ORIGIN HOME HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437879798
- **Authorized official:** MS. CLAUDIA CARACO (OWNER)
- **Authorized official phone:** (904) 204-4325

## Contact information

- **Practice address:** 10175 FORTUNE PKWY, UNIT 804, JACKSONVILLE, FL 32256-6751
- **Practice address phone:** (904) 204-4325
- **Practice address fax:** (844) 718-0076
- **Mailing address:** 10175 FORTUNE PKWY, UNIT 804, JACKSONVILLE, FL 32256-6751
- **Mailing address phone:** (813) 641-0500
- **Mailing address fax:** (844) 718-0076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 01/31/2025