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GENESIS EXTRACARE, LLC
NPI 1184052441
Adult Companion in Tyler, TX

Active since October 24, 2013
3500 S VINE AVE, TYLER, TX 75701(972) 571-2422(903) 509-3380 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Extracare, Llc NPPES

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

GENESIS EXTRACARE, LLC (NPI 1184052441) is a healthcare organization registered as an adult companion in Tyler, Texas and active in the NPI registry since October 2013. The organization lists Stephanie Smitson, President, as its authorized official.

NPPES Registry Identity

NPI1184052441
Entity TypeOrganization
Primary Taxonomy372600000X
Legal Business NameGENESIS EXTRACARE, LLC
Location Address3500 S VINE AVETyler, TX 75701-8541
Mailing Address3500 S Vine AveTyler, TX 75701-8541 · (972) 571-2422 · Fax (903) 509-3380
Phone(972) 571-2422
Fax(903) 509-3380
Organization SubpartNo
Authorized OfficialStephanie SmitsonPresident · (903) 571-1779
Enumeration DateOctober 24, 2013
✔ NPI 1184052441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
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.
3500 S VINE AVE, Tyler, TX 75701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ATRIA SENIOR LIVING GROUP, INC
Assisted Living Facility
3500 S VINE AVE
TYLER, TX 75701
Smith County (903) 561-4302

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 Extracare, LLC's NPI number?

The NPI number for Genesis Extracare, LLC is 1184052441. It was assigned to this organization in the NPPES registry on October 24, 2013.

Where is Genesis Extracare, LLC located?

Genesis Extracare, LLC is located at 3500 S Vine Ave, Tyler, TX 75701. The listed phone number is (972) 571-2422.

What is Genesis Extracare, LLC's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Genesis Extracare, LLC was last updated on October 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.