Provider Demographics
NPI:1912721622
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:CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PORTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MABASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-565-7726
Mailing Address - Street 1:4519 FALLEN APPLE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4776
Mailing Address - Country:US
Mailing Address - Phone:502-565-7726
Mailing Address - Fax:
Practice Address - Street 1:4519 FALLEN APPLE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4776
Practice Address - Country:US
Practice Address - Phone:502-565-7726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENUINE GLOBAL CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-09
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care