Provider Demographics
NPI:1306078647
Name:GENUINE PATIENT CARE
Entity type:Organization
Organization Name:GENUINE PATIENT CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:GENUINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MM
Authorized Official - Phone:909-904-1066
Mailing Address - Street 1:500 E E ST STE 216
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4276
Mailing Address - Country:US
Mailing Address - Phone:909-474-2727
Mailing Address - Fax:909-474-2727
Practice Address - Street 1:500 E E ST STE 216
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4276
Practice Address - Country:US
Practice Address - Phone:909-474-2727
Practice Address - Fax:877-493-6625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74237253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care