Miami Genesis Elderly Care Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9980 Issued in FL

Legal business name

MIAMI GENESIS ELDERLY CARE CORP

Practice address

3460 SW 137TH Ave
Miami, FL 33175-7234

Phone

(786) 223-2836

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Carlos Gonzalez

Title

Administrator

Phone

(305) 225-7119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1568610541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757234",
            "telephone_number": "786-223-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757234",
            "telephone_number": "786-223-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GENESIS ELDERLY CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-225-7119"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Miami, FL
• Providers in Miami, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.