Organization
GENESIS HOME HEALTH SERVICES, INC.
Active
Parent organization
GENESIS HOME HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HOME HEALTH SERVICES, INC.
Authorized official
QUERUBIN IGUBAN (CEO)
(775) 753-7626
Entity
Organization
Contact information
Practice address
8TH EAST HASKELL, SUITE C, WINNEMUCCA, NV 89445-3584
(775) 625-1002
(775) 625-2021
Mailing address
2620 RUBY VISTA DR, ELKO, NV 89801-1638
(775) 753-7626
(775) 753-7627
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5191HSB-4
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297300
MEDICARE PROVIDER NUMBER OR PTAN
NV
Enumeration date
03/07/2012
Last updated
03/07/2012
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