Genesis Resources, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

SW2565 Issued in FL

Legal business name

GENESIS RESOURCES, INC.

Practice address

4801 Jefferson St
Hollywood, FL 33021-7625

Phone

(954) 986-4268

Fax

(954) 893-7238

NPI assigned

Jul 26, 2009

Last updated

Jul 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Byrd Biernacki, RN, BHCA, CCM, CPUR

Title

President

Phone

(954) 483-1016

Specialties & licenses 10

Addresses

Locations

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248566400000",
    "number": "1588894471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 JEFFERSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217625",
            "telephone_number": "954-986-4268",
            "fax_number": "954-893-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 JEFFERSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217625",
            "telephone_number": "954-986-4268",
            "fax_number": "954-893-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A",
        "authorized_official_last_name": "BIERNACKI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "BYRD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-483-1016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BHCA, CCM, CPUR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2565",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN1372342",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN1226352",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN1372342",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "FL",
            "license": "RN1372342",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "FL",
            "license": "RN1226352",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "RN1226352",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "RN1372342",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN1372342",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "SW2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Gelfand, LCSW
• Kenneth M Gelman, MD
• Patricia Gene
• General Practice Associates LLC
• Genesis Community Care Incorporated
• Genesiscare USA of Florida LLC (Frederic L Bushkin MD)
• Genesiscare USA of Florida LLC (GenesisCare Center for Oncology)
• Genesiscare USA of Florida, LLC (Masel Urology Center)
• Genome LLC
• Joseph D Genovese

• Case Manager/Care Coordinator in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; 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.