Provider Demographics
NPI:1104581701
Name:GENUINE CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:GENUINE CARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:STARR
Authorized Official - Last Name:BRADBERRY-CONKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-992-5076
Mailing Address - Street 1:5170 AMBERLAND SQ STE B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1696
Mailing Address - Country:US
Mailing Address - Phone:864-992-5076
Mailing Address - Fax:
Practice Address - Street 1:5170 AMBERLAND SQ STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-1696
Practice Address - Country:US
Practice Address - Phone:864-992-5076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health