GENESIS HEALTH DEVELOPMENT INC (NPI# 1821030115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821030115 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH DEVELOPMENT INC |
Other Organization Name | BROOKS REHAB CENTER |
Practice Address |
13910 Fivay Rd Suite 6-7 Hudson FL 34667-7154 |
Mailing Address |
3599 University Blvd S Jacksonville FL 32216-4252 |
Practice Telephone | 7278699479 |
Practice Fax Number | 9043457284 |
Mailing Telephone | (904) 345-7291 |
Mailing Fax Number | 9043457284 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2017-06-21 |
Authorized Official Name | MICHAEL SPIGEL (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 9043457487 |
Is Organization Subpart | Y |
Parent Organization Name | GENESIS HEALTH DEVELOPMENT INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 8869570-01 | 05 |
Other Name | Type Code |
---|---|
Brooks Rehab Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033154992 | Genesis Health Development Inc | Clinic/Center | 820 Commed Blvd, Orange City, FL 32763-8321 | 2006-06-17 |
Street Address |
13910 FIVAY RD SUITE 6-7 |
City | HUDSON |
State | FL |
Zip Code | 34667-7154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194183780 | Ipatia Magnus | Nurse Practitioner | 13910 Fivay Rd, Suite 1, Hudson, FL 34667-7154 | 2016-02-10 |
1225436009 | Amber Gordon | Speech-Language Pathologist | 13910 Fivay Rd, 6-7, Hudson, FL 34667-7154 | 2014-12-10 |
1245658236 | St. Verena LLC. | Pharmacy | 13910 Fivay Rd, Suite 3, Hudson, FL 34667-7154 | 2014-04-07 |
1861813123 | Jennifer Theresa Larsson | Speech-Language Pathologist | 13910 Fivay Rd, Suite 6, Hudson, FL 34667 | 2014-01-03 |
1952673766 | Coastal Spine and Rehab Center LLC | Chiropractor | 13910 Fivay Rd, Ste 10, Hudson, FL 34667-7154 | 2012-02-09 |
1356677223 | Theresa Brown Crandall | Chiropractor | 13910 Fivay Rd, Ste. 10, Hudson, FL 34667-7154 | 2009-10-27 |
1396998456 | Ludmila Victorovna Treep | Massage Therapist | 13910 Fivay Rd, Hudson, FL 34667-7154 | 2008-11-02 |
1063695310 | Loretta L Mercer Inc | Community/Behavioral Health | 13910 Fivay Rd, Suite One, Hudson, FL 34667-7154 | 2007-12-10 |
1801973318 | The Center for Independence Inc | Day Training, Developmentally Disabled Services | 13910 Fivay Rd, Suite 8, Hudson, FL 34667 | 2006-11-01 |
1215946058 | John C Femenella | Nurse Practitioner | 13910 Fivay Rd, Suite One, Hudson, FL 34667 | 2006-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
Find all providers in zip 34667 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972912384 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13707 Dallas Dr, Hudson, FL 34667-7179 | 2014-08-11 |
1861426868 | Matrix Rehabilitation Ohio, Inc. | Clinic/Center | 5844 Darrow Rd, Hudson, OH 44236-3864 | 2006-07-10 |
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.