Organization Active NPI

Genesis Case Management Services, Corp

  • Community/Behavioral Health Agency
  • Doral, FL
National Provider Identifier
1366844524
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GENESIS CASE MANAGEMENT SERVICES, CORP
Practice address
8181 NW 36TH St
Suite 24
Doral, FL 33166-6671
Phone
(305) 639-9639
Fax
(305) 381-0735
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Jorge Braceras
Title
Ceo
Phone
(305) 639-9639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

8181 NW 36TH St
Suite 24
Doral, FL 33166-6671

Mailing address

8181 NW 36TH St
Suite 24
Doral, FL 33166-6671
Phone (305) 639-9639

Other identifiers 1

IdentifierTypeStateIssuer
012187400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Genesis Case Management Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1366844524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 24",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-639-9639",
            "fax_number": "305-381-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 24",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-639-9639",
            "fax_number": "305-381-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS CASE MANAGEMENT SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BRACERAS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-639-9639"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012187400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.