GENESIS (NPI# 1629336359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629336359 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
5214 Goshawk Dr Milton FL 32570-5020 |
| Practice Telephone | 8507768448 |
| Mailing Telephone | 8507768448 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | DONNA CAVENER (RESPIRATORY THERAPIST) |
| Authorized Official Telephone | 8507768448 |
| Authorized Official Credential | CRTT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | TT3185 | 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 |
| 1750647350 | Genesis | Skilled Nursing Facility | 931 Baldwin Ave, Negaunee, MI 49866-1064 | 2012-04-09 |
| 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 #1 WEST INDIAN - AMERICAN RESTAURANT INC | 162-23 Hillside Ave, Jamaica, Ny 11432 |
| 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 |
| Street Address |
5214 GOSHAWK DR |
| City | MILTON |
| State | FL |
| Zip Code | 32570-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1104328681 | Katherine Smith Lockler | Foster Care Agency | 6357 Brigadier Road, Milton, FL 32570 | 2018-03-01 |
| 1750565768 | Emerald Coast Surgical Specialists Pa | Surgery | 5992 Berryhill Road, 203, Milton, FL 32570 | 2007-12-27 |
| 1285815662 | Chandria Lynn Johnson Md Pa | Obstetrics & Gynecology | 5950 Berryhill Medical Park Dr, Suite B, Milton, FL 32570 | 2007-11-14 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1043317530 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6501 Caroline St Hwy 90, Milton, FL 32570 | 2006-09-19 |
| 1497764484 | Jennfer A Godfrey | Speech-Language Pathologist | 5165 Canal Street, Milton, FL 32570 | 2006-08-07 |
| 1316977135 | Rural Metro of North Florida Inc | Ambulance | 4930 Glover Lane, Milton, FL 32570 | 2006-07-04 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| Find all providers in zip 32570 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021550 | Lighthouz Home Health Care LLC | Nursing Facility/Intermediate Care Facility | 6418 Seabury Way, Orlando, FL 32818-1750 | 2020-04-13 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1861895476 | Miami Va Health Care System | Nursing Facility/Intermediate Care Facility | 8765 Sw 146th St, Palmetto Bay, FL 33176-8083 | 2014-09-28 |
| 1578977799 | A Labor of Love Doula Services LLC | Nursing Facility/Intermediate Care Facility | 12311 164th Ct N, Jupiter, FL 33478-6568 | 2014-06-16 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1013336346 | Bonaventure Health Services Inc. | Nursing Facility/Intermediate Care Facility | 123 Nw 13th St Ste 214-05, Boca Raton, FL 33432-1641 | 2014-04-15 |
| 1295153716 | Jeffrey D Mandelkorn Phd Pa | Nursing Facility/Intermediate Care Facility | 2000 Ne 17th St, #3, Fort Lauderdale, FL 33305-2565 | 2014-04-01 |
| 1801212097 | Faith Home Care Alf Inc. | Nursing Facility/Intermediate Care Facility | 114 Euclid Ave, Seffner, FL 33584-8000 | 2014-03-12 |
| 1295150712 | Happy Living LLC | Nursing Facility/Intermediate Care Facility | 582 Koala Dr, Kissimmee, FL 34759-4210 | 2014-02-19 |
| 1902243207 | Senior Home Maker Companion | Nursing Facility/Intermediate Care Facility | 13440 Sw 36 St, Miami, FL 33175 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
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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.