GENESIS HEALTHCARE CENTER LLC
NPI 1366253387
Assisted Living Facility in Lebanon, MO

Active since January 17, 2025CLIA 26D2262954 · Waiver
25466 N HIGHWAY 5, LEBANON, MO 65536(417) 830-4420 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Healthcare Center Llc NPPES

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

GENESIS HEALTHCARE CENTER LLC (NPI 1366253387) is a healthcare organization registered as an assisted living facility in Lebanon, Missouri and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Joshua Williams, Authorized Person, as its authorized official.

NPPES Registry Identity

NPI1366253387
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGENESIS HEALTHCARE CENTER LLC
Location Address25466 N HIGHWAY 5Lebanon, MO 65536-6294
Mailing AddressPo Box 836Hannibal, MO 63401-0836
Organization SubpartNo
Authorized OfficialJoshua WilliamsAuthorized Person · (573) 795-5012
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1366253387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
25466 N HIGHWAY 5, Lebanon, MO 65536

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2262954

Genesis Healthcare Center, LLC · Lebanon, MO
Active · expires Jun 20, 2028
CLIA Number26D2262954
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorDebra R. Williams
Laboratory Phone(417) 588-1100
Laboratory LocationGenesis Healthcare Center, LLC25466 North Highway 5, Lebanon, MO 65536
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

In Home Supportive Care
25466 N HIGHWAY 5
LEBANON, MO 65536

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 Healthcare Center LLC's NPI number?

The NPI number for Genesis Healthcare Center LLC is 1366253387. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Genesis Healthcare Center LLC located?

Genesis Healthcare Center LLC is located at 25466 N Highway 5, Lebanon, MO 65536. The listed phone number is (417) 830-4420.

What is Genesis Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Genesis Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2262954) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Healthcare Center LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.