GENESIS HEALTH DEVELOPMENT, INC. (NPI# 1366042491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366042491 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH DEVELOPMENT, INC. |
Practice Address |
1172 W Osceola Pkwy Kissimmee FL 34741-7515 |
Mailing Address |
3599 University Blvd S Jacksonville FL 32216-4252 |
Practice Telephone | 6892042221 |
Practice Fax Number | 6892042225 |
Mailing Telephone | 9043457600 |
Mailing Fax Number | 9043457619 |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |
Authorized Official Name | DOUGLAS M BAER (CEO) |
Authorized Official Telephone | 9043457473 |
Is Organization Subpart | Y |
Parent Organization Name | GENESIS HEALTH, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Brooks Rehab Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
1063681831 | Genesis Health Development, Inc. | Clinic/Center | 2700 University Blvd W, Jacksonville, FL 32217-2147 | 2008-02-26 |
1740220524 | Genesis Health Development, Inc. | Clinic/Center | 8505 San Jose Blvd, Jacksonville, FL 32217-4225 | 2006-06-08 |
1760025209 | Genesis Health Development, Inc. | Clinic/Center | 801 Woodbury Rd Ste 103, Orlando, FL 32828-4514 | 2019-10-28 |
Street Address |
1172 W OSCEOLA PKWY |
City | KISSIMMEE |
State | FL |
Zip Code | 34741-7515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558879643 | Nicole S Fliehman | Speech-Language Pathologist | 1172 W Osceola Pkwy, Kissimmee, FL 34741-7515 | 2018-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
Find all providers in zip 34741 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366475550 | Cora Health Services Inc | Clinic/Center | 1207 N Central Ave, Kissimmee, FL 34741 | 2006-07-09 |
1598794141 | Cora Health Services Inc | Clinic/Center | 3350 West Southport Road, Kissimmee, FL 34746-2706 | 2006-07-03 |
1568819878 | Iglesia Bautista Central De Kissimmee, Inc. | Clinic/Center | 2275 Fortune Rd, Kissimmee, FL 34744-4404 | 2016-05-17 |
1447489471 | St Mark Rehab Services Inc | Clinic/Center | 100 N John Young Pkwy, Kissimmee, FL 34741-5409 | 2009-07-12 |
1144315391 | Sunshine Physical Therapy & Fitness Center Inc | Clinic/Center | 801 W Oak St Ste 104, Kissimmee, FL 34741-6605 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
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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.