NPIMap

Organization Active NPI

Gensis House Recovery Residence Inc.

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
National Provider Identifier
1457726994
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GENSIS HOUSE RECOVERY RESIDENCE INC.
Practice address
4865 40TH Way S
Lake Worth, FL 33461-5301
Phone
(561) 439-4864
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Melissa Abreu
Title
Billing Manager
Phone
(954) 415-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4865 40TH Way S
Lake Worth, FL 33461-5301

Mailing address

PO Box 5978
Lake Worth, FL 33466-5978

National Provider Directory

National Provider Directory
Tax ID family
Genesis House Recovery Residence Inc2 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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1457726994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5978",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334665978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 40TH WAY S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615301",
            "telephone_number": "561-439-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENSIS HOUSE RECOVERY RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-415-9373"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.