Active NPI
Genesis Caretenders Services LLC
- Home Health Agency
- Altamonte Springs, FL
National Provider Identifier
1629774880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GENESIS CARETENDERS SERVICES LLC
- Practice address
- 283 Cranes Roost Blvd Ste 111
Altamonte Springs, FL 32701-3437 - Phone
- (407) 927-0045
- NPI assigned
- Jan 31, 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
- Mr. Max H Jacques
- Title
- Ambr
- Phone
- (407) 927-0045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
283 Cranes Roost Blvd Ste 111
Altamonte Springs, FL 32701-3437
Mailing address
283 Cranes Roost Blvd Ste 111
Altamonte Springs, FL 32701-3437
Phone (407) 927-0045
National Provider Directory
National Provider DirectoryLocations
283 Cranes Roost Blvd
Ste 117
Altamonte Springs, FL 32701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1629774880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 CRANES ROOST BLVD STE 111",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013437",
"telephone_number": "407-927-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 CRANES ROOST BLVD STE 111",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013437",
"telephone_number": "407-927-0045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS CARETENDERS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "JACQUES",
"authorized_official_first_name": "MAX",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "AMBR",
"authorized_official_telephone_number": "407-927-0045",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.