Genesis Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GENESIS MENTAL HEALTH LLC

Practice address

4888 NW 183Rd St Ste 108
Miami Gardens, FL 33055-2939

Phone

(786) 202-5536

NPI assigned

Jan 30, 2021

Organization subpart

No

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

Authorized official

Name

Mayrelis Prieto

Title

President

Phone

(786) 202-5536

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1265023477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552939",
            "telephone_number": "786-202-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552939",
            "telephone_number": "786-202-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "MAYRELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-202-5536"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GC Quality Home Inc
• Mark Stuart Geltzer, DDS
• Gemini Health Solutions LLC
• Genesis Adult Day Care Inc
• Genesis Community Wellness LLC
• Gentle Loving Home Care LLC
• Genuine Love and Care LLC
• Misty Germain
• Jean Kensley Germinal
• Delphine Gervais, LCSW

• Community/Behavioral Health Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.