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Genesis Extracare, Llc
Adult Companion in Tyler, Texas
NPI 1184052441

Genesis Extracare, Llc is an Adult Companion based in Tyler, TX. Genesis Extracare, Llc practices in Tyler, TX. The NPI Number for Genesis Extracare, Llc is 1184052441 and holds a License No. (Texas).

The current practice location address for Genesis Extracare, Llc is 3500 S Vine Ave, Tyler, TX and can be reached out via phone at 972-571-2422 and via fax at 903-509-3380. You can also correspond with Genesis Extracare, Llc through the mailing address at 3500 S VINE AVE, TYLER, TX - 75701-8541 (mailing address contact number: 972-571-2422).

Location: 3500 S Vine Ave, Tyler, TX, 75701-8541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184052441
Provider Name
Genesis Extracare, Llc
Credential
Provider Entity Type
Organization
Address
3500 S Vine Ave, Tyler, TX, 75701-8541
Phone Number
972-571-2422
Fax Number
903-509-3380
Provider Enumeration Date
10/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 S Vine Ave
City
Tyler
State
Texas
Zip
75701-8541
Phone Number
972-571-2422
Fax Number
903-509-3380
person
Provider Business Mailing Address Details
Address
3500 S Vine Ave
City
Tyler
State
Texas
Zip
75701-8541
Phone Number
972-571-2422
Fax Number
903-509-3380
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
(Texas)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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