Organization
GENESIS HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN GONZALEZ (DIRECTOR/ CEO)
(305) 757-5999
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST STE 618, NORTH MIAMI, FL 33161-5013
(305) 757-5999
Mailing address
1175 NE 125TH ST STE 618, NORTH MIAMI, FL 33161-5013
(305) 757-5999
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
215630951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010494600
—
FL
05
—
650424800
—
FL
Enumeration date
03/16/2006
Last updated
04/15/2024
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