Gencare Kids, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

GENCARE KIDS, LLC

Doing business as

Gencare Kids, LLC

Practice address

2557 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-4993

Phone

(407) 440-2877

Fax

(407) 440-2876

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By 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

Jeffrey Rivera, RNNPI 1326239070

Title

Administrator

Phone

(407) 440-2877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gencare Kids, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Rivera, RN

  • Home Health Registered Nurse
  • Kissimmee, FL
  • NPI 1326239070
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1609488840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 PRESIDENTS DR STE 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095530",
            "telephone_number": "407-440-2877",
            "fax_number": "407-440-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 E IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444993",
            "telephone_number": "407-440-2877",
            "fax_number": "407-440-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-440-2877",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60081072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gencare Kids, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grigory Gelikman, M.D.
• Marisa Suzanne Gelinas
• Michel Gell
• Denise Genao Deleon
• Gencare Kids Ppec Plus Learning Center Kissimmee, LLC
• General Behavior Analysis LLC
• Genesis Health Development, Inc. (Brooks Health Development)
• Genesis Healthcare Services
• Genesis International Medical Services LLC
• Genesis Rehab Services

• Medically Fragile Infants and Children Day Care in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Medically Fragile Infants and Children Day Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.