Genesis History Maker Community Development Corporation
NPI 1619874476ActiveOrganization· Case Management· Killeen, TX
Case Management in Killeen, Texas, registered in NPPES in October 2026. The authorized official on file is Antonia Martinez Revell, President.
Overview
| NPI | 1619874476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2026 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
| Point of Service | 305S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Case Management providers in Killeen
- 1013117639
- 1245139559
- 1538067814
- 1891270823
- 1285396531