Provider Demographics
NPI:1588155972
Name:GENUINE CARE HOME HEALTH AID AGENCY LLC
Entity type:Organization
Organization Name:GENUINE CARE HOME HEALTH AID AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MOTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-695-7960
Mailing Address - Street 1:718 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-1606
Mailing Address - Country:US
Mailing Address - Phone:717-695-7960
Mailing Address - Fax:
Practice Address - Street 1:718 S 29TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-1606
Practice Address - Country:US
Practice Address - Phone:717-695-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA35083601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care