Organization
GENESIS HOME CARE CORPORATION
Active
Organization
GENESIS HOME CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA WILSON (OWNER)
(423) 894-6418
Entity
Organization
Contact information
Practice address
5710 LEE HWY, CHATTANOOGA, TN 37421-3570
(423) 894-6418
Mailing address
5710 LEE HWY, CHATTANOOGA, TN 37421-3570
(423) 894-6418
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
0000000477
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
0000000477
TN
335E00000X
Prosthetic/Orthotic Supplier
0000000477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00136837A
—
GA
01
—
2004741
BLUE CROSS
TN
05
—
3533071
—
TN
Enumeration date
06/25/2006
Last updated
09/11/2025
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