Active NPI
Genesis Community Health, Inc.
- Federally Qualified Health Center (FQHC)
- Delray Beach, FL
National Provider Identifier
1437930815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GENESIS COMMUNITY HEALTH, INC.
- Practice address
- 2455 W Atlantic Ave RM 5-107
Delray Beach, FL 33445-4425 - Phone
- (561) 266-0961
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna Warren
- Title
- Ceo
- Phone
- (561) 806-6835
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
2455 W Atlantic Ave RM 5-107
Delray Beach, FL 33445-4425
Mailing address
639 E Ocean Ave Ste 409
Boynton Beach, FL 33435-5017
Phone (561) 806-6835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006608619 | Medicaid | FL |
Other names 1
- Atlantis High
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2145985 | Genesis Community Health, Inc | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Atlantis High
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Boynton Beach, FL
- NPI 1285415661
-
- Federally Qualified Health Center (FQHC)
- Boynton Beach, FL
- NPI 1740745512
-
- Federally Qualified Health Center (FQHC)
- Boynton Beach, FL
- NPI 1215438981
-
- Federally Qualified Health Center (FQHC)
- Boynton Beach, FL
- NPI 1437402831
-
- Federally Qualified Health Center (FQHC)
- Boynton Beach, FL
- NPI 1447578125
-
- Federally Qualified Health Center (FQHC)
- Boca Raton, FL
- NPI 1871936336
Locations
2455 W Atlantic Ave
Rm 5107
Delray Beach, FL 33445
Phone (561) 266-0961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1437930815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 E OCEAN AVE STE 409",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334355017",
"telephone_number": "561-806-6835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 W ATLANTIC AVE RM 5-107",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334454425",
"telephone_number": "561-266-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS COMMUNITY HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-11",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-806-6835"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006608619",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlantis High",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.