{"npi":"1720060924","type":"NPI-2","status":"active","name":{"display":"Genesis Enterprises, Inc.","other":[],"organization_name":"GENESIS ENTERPRISES, INC.","authorised_official":"Michael Smith"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"TN","license":"0000000465"}]},"addresses":[{"purpose":"LOCATION","street_1":"7058 HIGHWAY 64","city":"OAKLAND","state":"TN","postal_code":"380603208","country_code":"US","phone":"9014660441","fax":"9014660447"},{"purpose":"MAILING","street_1":"PO BOX 387","city":"OAKLAND","state":"TN","postal_code":"380600387","country_code":"US","street_2":"7058 HIGHWAY 64","phone":"9014660441","fax":"9014660447"}],"license":{"state":"TN","number":"0000000465"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00440484","state":"MS","issuer":null},{"type_code":"01","label":"Other","value":"A0000","state":"FL","issuer":"BLUE CROSS FL"},{"type_code":"01","label":"Other","value":"V2336","state":"VA","issuer":"HOMELINK"},{"type_code":"01","label":"Other","value":"2678011","state":"TN","issuer":"AETNA LIFE INSURANCE"},{"type_code":"01","label":"Other","value":"3113340","state":"TN","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"7102000TN38060","state":"MI","issuer":"BLUE CROSS MICHIGAN"},{"type_code":"01","label":"Other","value":"GENESIS","state":"MO","issuer":"GEHA"},{"type_code":"05","label":"Medicaid","value":"1452445","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"GENESIS ENTERP","state":"AR","issuer":"BLUE CROSS AR"},{"type_code":"01","label":"Other","value":"GENESIS ENTERPRISES","state":"TN","issuer":"BC BS BLUE"},{"type_code":"01","label":"Other","value":"000000114193","state":"TN","issuer":"TENNCARE BETTER HEALTH"},{"type_code":"01","label":"Other","value":"GENESIS ENTERPRISES","state":"IN","issuer":"CONSECO HEALTH"},{"type_code":"01","label":"Other","value":"0005802578","state":"TN","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"GENESIS","state":"TN","issuer":"UNITED HEALTHCARE AARP"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-15","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}