Genesis Community Resource Center, NPI 1013231117
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint John, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1013231117
NPI Entity Type Organization
Provider Name Genesis Community Resource Center
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 11616 Barberry Ct, Saint John, IN, US
Provider Mailing Address 320 W Ridge Rd, Gary, IN, US, 464082735
Is Sole Proprietor? No
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Organization Official

Official Name DR. Shanda Rena Evans
Official Position ADMINISTRATOR
Phone 219-884-1402

Primary Taxonomy

Taxonomy Code

320900000X

Taxonomy Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

Description A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Other Organization Name

Genesis Home Health Care Services
Doing Business As

Business Address

Genesis Community Resource Center
11616 Barberry Ct

Saint John, IN, US

Phone: 708-654-6324

Mailing Address

Genesis Community Resource Center
320 W Ridge Rd
Gary, IN, US
ZIP 464082735
Phone: 219-884-1402

Other Providers in IN, US

NPI Name Taxonomy Address

1528516226

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PA-C Kristin E Pletcher

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DR. MD David J Wittbrodt

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1285098400

Melissa Lucio

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1588016174

FNP-C Colleen Conwell

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1326030297

MD David E Schleinkofer

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DR. M.D., Ahmed Zakria Youssef Elmaadawi

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1013307131

Kara Yackee

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3909 New Vision Dr

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1275608929

DR. MD Steven W Cohen

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Gastroenterology Physician

11104 Parkview Circle Dr Ste 310

Fort Wayne, IN

1689833279

MD Julie A Tillman

Individual

Obstetrics & Gynecology Physician

11123 Parkview Plaza Dr

Suite 101

Fort Wayne, IN

1790857423

DR. M.D. Rebecca E Minser

Individual

Internal Medicine Physician

1234 E Dupont Rd Ste 3

Fort Wayne, IN

1427400886

Jennifer Vanzant

Individual

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2200 Randallia Dr

Fort Wayne, IN

1083820286

DR. M.D. Dona M Uncheselu

Individual

Hospice and Palliative Medicine (Family Medicine) Physician

11109 Parkview Plaza Dr

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1033367123

MD Amy K Sadler

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1270 E S.r. 205, Suite 240

Columbia City, IN

1629070032

MD Kevin K Hart

Individual

Cardiovascular Disease Physician

11108 Parkview Circle Dr

Fort Wayne, IN

1245687284

MD Megan C. Lemon

Individual

Family Medicine Physician

11055 Twin Creeks Cv

Fort Wayne, IN

1922582188

Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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