# GENESIS HOME HEALTHCARE PROVIDERS, LLC

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

## Provider details

- **NPI number:** 1730346206
- **Authorized official:** MR. STEVEN L LONZO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (517) 882-3544

## Contact information

- **Practice address:** 3204 S PENNSYLVANIA AVE, LANSING, MI 48910-4733
- **Practice address phone:** (517) 882-3544
- **Mailing address:** PO BOX 1362, EAST LANSING, MI 48826-1362
- **Mailing address phone:** (517) 882-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008