GENESIS (NPI# 1619377405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619377405 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
518 W Fletcher Ave Tampa FL 33612-3419 |
| Practice Telephone | 8132651600 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | MICHELLE PAHL (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9542579379 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | PT24363 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023468071 | Genesis | Clinic/Center | 2098 Henderson Way, Lodi, CA 95242-4814 | 2016-06-20 |
| 1588027130 | Genesis | Rehabilitation Hospital | 2266 Biers Run Rd, Chillicothe, OH 45601-9039 | 2016-03-31 |
| 1407213267 | Genesis | Assisted Living Facility | 20 Pelican Dr, Bayville, NJ 08721-1605 | 2016-01-25 |
| 1518357763 | Genesis | Skilled Nursing Facility | 1313 Orange Ave, Santa Ana, CA 92707-1323 | 2015-01-27 |
| 1932501988 | Genesis | Skilled Nursing Facility | 505 Canon Ave, Apt 2, Manitou Springs, CO 80829-2947 | 2014-09-22 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 1164847505 | Genesis | Skilled Nursing Facility | 31 W Cherry St, Box 875, Rising Sun, MD 21911-1781 | 2014-02-21 |
| 1407271851 | Genesis | Skilled Nursing Facility | 916 Greenwood Cir, Coatesville, PA 19320-2133 | 2014-02-21 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1629336359 | Genesis | Nursing Facility/Intermediate Care Facility | 5214 Goshawk Dr, Milton, FL 32570-5020 | 2012-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GENESIS | 15 S 11th, Richmond, IN 47374-5515 |
| Colorado Business Entities | GENESIS | 15621 E Broncos Pl, Englewood, CO 80112 |
| Oregon Corporations, Companies and Business Names | GENESIS | 7561 Crater Lake Hwy Unit C-1, White City, OR 97503 |
| Colorado Business Entities | GENESIS ELECTRONICS RECYCLING | 2045 S Valentia St, Unit 14, Denver, CO 80231 |
| New York State Corporations | GENESIS & ALIYAH DISTRIBUTORS, INC. | 219 Claremont Ave., 1st Fl., Mt. Vernon, New York 10552 |
| New York State Corporations | GENESIS & D CLEANING SERVICES LLC | 735 Pelham Parkway North, Apt 4s, Bronx, Ny 10467 |
| New York State Corporations | GENESIS & NICOLE CORP. | 2355 Middle Country Rd., Centereach, New York 11720 |
| Connecticut Business Registrations | GENESIS "COLLEGE IS A MUST" FOUNDATION, INC. | 15 Lewis Street, Suite 302, Hartford, CT 06103 |
| Iowa Business Entities | GENESIS - LAND YOUR FUTURE LLC | 2956 D Ave., Montour, IA 50173 |
| Colorado Business Entities | Genesis - Prevent Protect Provide | 3224 Wykagyl, Westcliffe, CO 81252 |
| Street Address |
518 W FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932155918 | Fletcher Health Care Associates LLC | Skilled Nursing Facility | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2006-05-25 |
| 1588284335 | Edward Bonner | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2020-04-22 |
| 1205462405 | Richard John Rejonis II | Occupational Therapist | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2020-03-19 |
| 1437505476 | Lindsey Entzminger Bugna | Speech-Language Pathologist | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2016-05-09 |
| 1023479045 | Daniel Weaver | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2016-03-18 |
| 1306239090 | Michael Jeffers | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2015-03-05 |
| 1508267832 | Enrique Martinez-rosell | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2014-09-05 |
| 1538569967 | Michelle Pahl | Physical Therapist | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2014-09-04 |
| 1942600762 | Rhoda Reroma | Occupational Therapist | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2014-08-28 |
| 1184982936 | Koshy Varghese | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2012-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265846174 | Riverwood Health Nh LLC | Skilled Nursing Facility | 4042 Park Oaks Blvd Ste 300, Tampa, FL 33610-9539 | 2014-06-18 |
| 1710317532 | Bvm Lakeshore LLC | Skilled Nursing Facility | 16001 Lakeshore Villa Drive, Tampa, FL 33613 | 2013-11-14 |
| 1952677908 | Geidy Hernandez | Skilled Nursing Facility | 5126 Net Dr, Tampa, FL 33634-5095 | 2012-03-23 |
| 1215163662 | Progressus Therapy | Skilled Nursing Facility | 10014 N Dale Mabry Hwy # C-100, Tampa, FL 33618-4426 | 2009-05-29 |
| 1518126408 | Sf Tampa LLC | Skilled Nursing Facility | 1818 East Fletcher Avenue, Tampa, FL 33612-3770 | 2008-06-05 |
| 1568546513 | Canterbury Tower Inc. | Skilled Nursing Facility | 3501 Bayshore Blvd, Tampa, FL 33629-8901 | 2006-10-25 |
| 1649227414 | Manor Care - Carrollwood of Tampa Fl, LLC | Skilled Nursing Facility | 3030 W Bearss Ave, Tampa, FL 33618-1811 | 2006-05-27 |
| 1932155918 | Fletcher Health Care Associates LLC | Skilled Nursing Facility | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2006-05-25 |
| 1699728626 | Solomon Holdings I - The Triangle LLC | Skilled Nursing Facility | 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 | 2006-05-19 |
| 1316916281 | Tr & Snf Inc | Skilled Nursing Facility | 12250 N 22nd St, Tampa, FL 33884 | 2006-03-14 |
| Find all providers in TAMPA | ||||
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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.