1144461443 NPI number — GENESIS COMPREHENSIVE HOME HEALTH CARE SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144461443 NPI number — GENESIS COMPREHENSIVE HOME HEALTH CARE SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENESIS COMPREHENSIVE HOME HEALTH CARE SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144461443
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14680 SW 8TH ST
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33184-3137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-559-8946
Provider Business Mailing Address Fax Number:
305-559-8948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14680 SW 8TH ST
Provider Second Line Business Practice Location Address:
SUITE
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33184-3137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-559-8946
Provider Business Practice Location Address Fax Number:
305-559-8948
Provider Enumeration Date:
03/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ DE SALAH
Authorized Official First Name:
MARIELA
Authorized Official Middle Name:
ISABEL
Authorized Official Title or Position:
CEO/ OWNER
Authorized Official Telephone Number:
305-559-8946

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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