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GENESIS LLC
NPI 1174380463
Case Manager/Care Coordinator in Minneapolis, MN

Active since March 04, 2024
1007 W BROADWAY AVE, MINNEAPOLIS, MN 55411(952) 221-9987(612) 486-8694 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS LLC (NPI 1174380463) is a healthcare organization registered as a case manager/care coordinator in Minneapolis, Minnesota and active in the NPI registry since March 2024. The organization lists Wilma Denise King, President, as its authorized official.

NPPES Registry Identity

NPI1174380463
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameGENESIS LLC
Location Address1007 W BROADWAY AVEMinneapolis, MN 55411-2503
Mailing Address2143 Albemarle Ct NRoseville, MN 55113-6677 · (952) 221-9987 · Fax (612) 486-8694
Phone(952) 221-9987
Fax(612) 486-8694
Organization SubpartNo
Authorized OfficialWilma Denise KingPresident · (612) 408-9084
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1174380463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1007 W BROADWAY AVE, Minneapolis, MN 55411
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIBO KHALIF ABDIRAHMAN
Behavior Technician
1007 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 524-8828
NAJMO MURSAL MOHAMED
Behavior Analyst
1007 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Hennepin County (612) 524-8828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis LLC's NPI number?

The NPI number for Genesis LLC is 1174380463. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Genesis LLC located?

Genesis LLC is located at 1007 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (952) 221-9987.

What is Genesis LLC's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Genesis LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.