Individual provider Active NPI

Genaris Haston

  • Developmentally Disabled Services Day Training Agency
  • Riviera Beach, FL
National Provider Identifier
1063615417
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Practice address
1213 Rosegate Blvd
Riviera Beach, FL 33404-1821
Phone
(561) 844-2799
Fax
(561) 841-8237
NPI assigned
Jun 5, 2007
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X FL Primary

Addresses

Primary practice location

1213 Rosegate Blvd
Riviera Beach, FL 33404-1821

Mailing address

PO Box 221374
West Palm Beach, FL 33422-1374
Phone (561) 768-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
693021296FLMDDevelopmentally Disabled Services Day Training Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Support Services Network, Inc. Day Training, Developmentally Disabled Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1063615417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221374",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334221374",
            "telephone_number": "561-768-3600",
            "fax_number": "561-841-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ROSEGATE BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041821",
            "telephone_number": "561-844-2799",
            "fax_number": "561-841-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTON",
        "first_name": "GENARIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.