Organization
GENESIS HEALTH SYSTEM
Active
Parent organization
GENESIS HEALTH SYSTEM
Other names
Genesis VNA and Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HEALTH SYSTEM
Authorized official
MR. DOUG P. CROPPER (PRESIDENT AND CEO)
(563) 421-6510
Entity
Organization
Contact information
Practice address
2535 MAPLECREST RD, SUITE 27, BETTENDORF, IA 52722-7709
(563) 421-5500
(563) 421-5202
Mailing address
2535 MAPLECREST RD, SUITE 27, BETTENDORF, IA 52722-7709
(563) 421-4663
(563) 421-5202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1010645
IL
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670158
—
IA
Enumeration date
05/17/2006
Last updated
02/07/2022
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