NPI age
13 years
Enumerated 2012-07-17
● Active Type 2 · Organization
Genesis Service Dogs Inc
Genesis Service Dogs Inc is 1 of 23 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stem
President
Last NPPES update
2012-07-17
Source: monthly bulk 2026-05
How this organization compares
Across 23 active durable medical equipment & medical supplies providers in Idaho.
NPI age
13 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
621 W Broadway Ave
Meridian, ID 836422404
Mailing address
621 W Broadway Ave
Meridian, ID 836422404
Authorized official
Danielle Stem
President
📞 2087614884
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
-
Prosthetic/Orthotic SupplierAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Genesis Service Dogs INC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.