Organization Active NPI

Genesis Community

  • Community/Behavioral Health Agency
  • Davie, FL
National Provider Identifier
1376453605
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GENESIS COMMUNITY
Practice address
5400 S University Dr Ste 118
Davie, FL 33328-5309
Phone
(954) 960-4740
Fax
(888) 353-5181
NPI assigned
Sep 9, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Juan Rodriguez
Title
Member
Phone
(954) 960-4740

Specialties & licenses 1

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

Addresses

Primary practice location

5400 S University Dr Ste 118
Davie, FL 33328-5309

Mailing address

5400 S University Dr Ste 118
Davie, FL 33328-5309
Phone (954) 960-4740

National Provider Directory

National Provider Directory

Locations

5400 S University Dr
Ste 118
Davie, FL 33328
Phone (954) 893-9499

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1376453605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 118",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285309",
            "telephone_number": "954-960-4740",
            "fax_number": "954-827-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 118",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285309",
            "telephone_number": "954-960-4740",
            "fax_number": "888-353-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-960-4740"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.