Organization
GENUS HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN JANET HAYWOOD (ADMINISTRATOR)
(909) 981-1821
Entity
Organization
Contact information
Practice address
1476 W. 9TH STREET SUITE B-1, UPLAND, CA 91786-5743
(909) 981-1821
(909) 981-6528
Mailing address
1476 W 9TH ST STE B1, UPLAND, CA 91786-5699
(909) 981-1821
(909) 981-6528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240000820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08075F
—
CA
Enumeration date
10/25/2006
Last updated
09/11/2025
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