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Genesis Adult Family Home Llc
Pediatric Skilled Nursing Facility in Mequon, Wisconsin
NPI 1831974955

Genesis Adult Family Home Llc is a Pediatric Skilled Nursing Facility based in Mequon, WI and is specialized in Nursing Care, Pediatric. Genesis Adult Family Home Llc practices in Mequon, WI. The NPI Number for Genesis Adult Family Home Llc is 1831974955 and holds a License No. (Wisconsin).

The current practice location address for Genesis Adult Family Home Llc is 3315 W Burgundy Ct, Mequon, WI and can be reached out via phone at 262-853-1344.

Location: 3315 W Burgundy Ct, Mequon, WI, 53092-5202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831974955
Provider Name
Genesis Adult Family Home Llc
Credential
Provider Entity Type
Organization
Address
3315 W Burgundy Ct, Mequon, WI, 53092-5202
Phone Number
262-853-1344
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3315 W Burgundy Ct
City
Mequon
State
Wisconsin
Zip
53092-5202
Phone Number
262-853-1344
Fax Number
person
Provider Business Mailing Address Details
Address
3315 W Burgundy Ct
City
Mequon
State
Wisconsin
Zip
53092-5202
Phone Number
262-853-1344
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
()
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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