GENESIS COMMUNITY HEALTH INC (NPI# 1437402831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437402831 |
| Entity Type | Organization |
| Organization Name | GENESIS COMMUNITY HEALTH INC |
| Other Organization Name | MAE VOLEN CENTER |
| Practice Address |
1515 W Palmetto Park Rd Boca Raton FL 33486-3307 |
| Mailing Address |
564 E Woolbright Rd Boynton Beach FL 33435-6033 |
| Practice Telephone | 5613958920 |
| Practice Fax Number | 5613389127 |
| Mailing Telephone | 5617356553 |
| Mailing Fax Number | 5617357739 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DEANNA M WARREN (PRESIDENT/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 |
| Other Name | Type Code |
|---|---|
| Mae Volen Center | Other Name - Individual/Organization |
| 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 |
| 1073982831 | Genesis Community Health Inc | Clinic/Center | 600 S Dixie Hwy Ste 103, Boca Raton, FL 33432-6034 | 2015-09-22 |
| 1871936336 | Genesis Community Health Inc | Clinic/Center | 181 Crawford Blvd, Boca Raton, FL 33432-3743 | 2013-04-15 |
| Street Address |
1515 W PALMETTO PARK RD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703334 | Patricia Hartog | Social Worker | 1515 W Palmetto Park Rd, Boca Raton, FL 33486-3307 | 2005-07-11 |
| 1700099918 | Mae Volen Senior Center, Inc. | Non-emergency Medical Transport (VAN) | 1515 W Palmetto Park Rd, Boca Raton, FL 33486-3307 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| 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 |
|---|---|---|---|---|
| 1073982831 | Genesis Community Health Inc | Clinic/Center | 600 S Dixie Hwy Ste 103, Boca Raton, FL 33432-6034 | 2015-09-22 |
| 1871936336 | Genesis Community Health Inc | Clinic/Center | 181 Crawford Blvd, Boca Raton, FL 33432-3743 | 2013-04-15 |
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| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.