Organization
GENESIS ALF OF TAMPA BAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLADYS KANODEREKA (SECRETARY)
(813) 638-5803
Entity
Organization
Contact information
Practice address
714 VILLAGE PL, BRANDON, FL 33511-6240
(813) 638-5803
Mailing address
714 VILLAGE PL, BRANDON, FL 33511-6240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up