Genmar's Home Care

Primary specialty

Home Health AgencyTaxonomy code 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

Last updated

Aug 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Virgen Santaella, NURSENPI 1194203471

Title

LPN

Phone

(813) 679-9469

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria V Santaella

  • Licensed Practical Nurse
  • Mulberry, FL
  • NPI 1194203471
  NPD (past) Authorized official

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1164079943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 HICKORY STREAM LN",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338607914",
            "telephone_number": "813-679-9469",
            "fax_number": "863-943-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4784 HICKORY STREAM LN",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338607914",
            "telephone_number": "813-679-9469",
            "fax_number": "863-943-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENMAR'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "SANTAELLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VIRGEN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "813-679-9469",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194203471",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mulberry",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mulberry",
            "address_1": "4784 Hickory Stream Ln",
            "city": "Mulberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338607914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erv Transportation
• Masoud K. Farzaneh, DDS
• Lizabel Feliciano
• Joel Benjamin Freid, PH.D.
• Rose A Gallagher, LCSW
• Genuine Hearts That Care LLC
• Suzanne Marie Gilley
• Ellen Golden Goheen, LDO
• Graceful Home Services LLC
• Solymar Gutierrez

• Home Health Agency in Mulberry, FL
• Providers in Mulberry, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.