Organization
GENESIS HOMECARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATORRIA SIMS (CEO)
(662) 721-5724
Entity
Organization
Contact information
Practice address
618 MAGNOLIA ST, MADISON, MS 39110-8777
(601) 761-0998
Mailing address
618 MAGNOLIA ST, MADISON, MS 39110-8777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/19/2025
Last updated
09/29/2025
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