Provider Demographics
NPI:1386936771
Name:GENESIS 7 TRANSPORT
Entity type:Organization
Organization Name:GENESIS 7 TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-948-5612
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-0841
Mailing Address - Country:US
Mailing Address - Phone:678-294-2601
Mailing Address - Fax:
Practice Address - Street 1:2675 SUGARLOAF PKWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-9342
Practice Address - Country:US
Practice Address - Phone:678-294-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003128307AMedicaid