GENESIS COMMUNITY HEALTH INC (NPI# 1073982831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073982831 |
| Entity Type | Organization |
| Organization Name | GENESIS COMMUNITY HEALTH INC |
| Practice Address |
600 S Dixie Hwy Ste 103 Boca Raton FL 33432-6034 |
| Mailing Address |
2623 S Seacrest Blvd Suite 65 Boynton Beach FL 33435-7541 |
| Practice Telephone | 5614303629 |
| Practice Fax Number | 5619907435 |
| Mailing Telephone | 5618356553 |
| Mailing Fax Number | 5617357739 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DEANNA M WARREN (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 5617356553 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215438981 | Genesis Community Health Inc | Clinic/Center | 2623 S Seacrest Blvd Ste 112, Boynton Beach, FL 33435-7531 | 2018-02-27 |
| 1871936336 | Genesis Community Health Inc | Clinic/Center | 181 Crawford Blvd, Boca Raton, FL 33432-3743 | 2013-04-15 |
| 1437402831 | Genesis Community Health Inc | Clinic/Center | 1515 W Palmetto Park Rd, Boca Raton, FL 33486-3307 | 2012-10-23 |
| Street Address |
600 S DIXIE HWY STE 103 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523527 | Jaclyn Pine | Physician Assistant | 600 S Dixie Hwy Ste 103, Boca Raton, FL 33432-6034 | 2019-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871936336 | Genesis Community Health Inc | Clinic/Center | 181 Crawford Blvd, Boca Raton, FL 33432-3743 | 2013-04-15 |
| 1437402831 | Genesis Community Health Inc | Clinic/Center | 1515 W Palmetto Park Rd, Boca Raton, FL 33486-3307 | 2012-10-23 |
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| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on GENESIS COMMUNITY HEALTH INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.