Provider Demographics
NPI:1366147845
Name:GENUINE GLOBAL CARE LLC
Entity type:Organization
Organization Name:GENUINE GLOBAL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARUMAZONDO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:469-528-5790
Mailing Address - Street 1:513 SPUR RDG
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-1377
Mailing Address - Country:US
Mailing Address - Phone:469-528-5790
Mailing Address - Fax:
Practice Address - Street 1:513 SPUR RDG
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-1377
Practice Address - Country:US
Practice Address - Phone:469-528-5790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENUINE GLOBAL CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-03
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care