Genmar'S Home Care
Organization Active NPI Home Health Agency · Mulberry, FL
NPI 1164079943 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1164079943
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- GENMAR'S HOME CARE
- Practice address
- 4784 Hickory Stream LN
Mulberry, FL 33860-7914 - Phone
- (813) 679-9469
- Fax
- (863) 943-5201
- NPI assigned
- Aug 26, 2019
- Organization subpart
- No
Authorized official
- Name
- Maria Virgen Santaella, NURSE
- Title
- LPN
- Phone
- (813) 679-9469
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4784 Hickory Stream LN
Mulberry, FL 33860-7914
Mailing address
4784 Hickory Stream LN
Mulberry, FL 33860-7914
Phone (813) 679-9469
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194203471 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mulberry | Direct |
Other providers in Mulberry, FL
- Erv Transportation
- Masoud K. Farzaneh
- Lizabel Feliciano
- Joel Benjamin Freid
- Rose A Gallagher
- Genuine Hearts That Care LLC
- Suzanne Marie Gilley
- Ellen Golden Goheen
- Graceful Home Services LLC
- Solymar Gutierrez
All providers in Mulberry, FL · Home Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.