Genesis LLC
Case Manager/Care Coordinator · Minneapolis, MN
Practice location
1007 W Broadway AveMinneapolis, MN 55411-2503
- Phone
- (952) 221-9987
- Fax
- (612) 486-8694
NPI record
- NPI
- 1174380463
- Entity type
- Organization (Type 2)
- Enumeration date
- March 4, 2024
- Last updated
- March 4, 2024
- Certified
- March 3, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
— | — |
| Counselor | 101Y00000X |
— | — |
| Health & Wellness Coach | 171400000X |
— | — |
| Community Health Worker | 172V00000X |
— | — |
Mailing address
2143 Albemarle Ct NRoseville, MN 55113-6677
- Phone
- (952) 221-9987
- Fax
- (612) 486-8694
Authorized official
- Name
- Wilma Denise King
- Title
- President
- Phone
- (612) 408-9084
About Genesis LLC
Genesis LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1007 W Broadway Ave, Minneapolis, MN 55411-2503. The NPI number 1174380463 was assigned on March 4, 2024 and the record was last updated on March 4, 2024.
The authorized official for this organization is Wilma Denise King, President.
Frequently asked questions
What is the NPI number of Genesis LLC?
The NPI number is 1174380463.
What is the phone number of Genesis LLC?
The phone number listed for the practice location is (952) 221-9987.
Where is Genesis LLC located?
1007 W Broadway Ave, Minneapolis, MN 55411-2503.
What is the taxonomy code for Genesis LLC?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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