National Provider Identifier Database

GENESIS HEALTH AND WELLNESS LLC
Customized Equipment


Contact Information

GENESIS HEALTH AND WELLNESS LLC
8211 W STATE ROUTE 66
NEWBURGH, IN47630-2534
Phone: 812-858-1005
Fax: 812-858-1001
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
General Practice 208D00000X
Nutrition, Education 133NN1002X

* Indicates primary specialty

NPI Profile & details for GENESIS HEALTH AND WELLNESS LLC

NPI Number 1336470616
Legal business name
LBN
GENESIS HEALTH AND WELLNESS LLC
Authorized official SHAUN TYMCHAK - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/26/2010
Last updated 08/30/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 08002011A
  • IN Medicaid: 201085220A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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