Organization Active NPI

Genesis Caretenders Services LLC

  • Home Health Agency
  • Altamonte Springs, FL
National Provider Identifier
1629774880
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 12, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.