Genesis Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

215630951 Issued in FL

Legal business name

GENESIS HOME HEALTH INC

Practice address

1175 NE 125TH St Ste 618
North Miami, FL 33161-5013

Phone

(305) 757-5999

NPI assigned

Mar 16, 2006

Last updated

Apr 15, 2024By 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

Vivian Gonzalez

Title

Director/ Ceo

Phone

(305) 757-5999

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659340149. Details of each certification follow.

• CCN 107699 Home health agency · Active · Details

Home health agency certification: CCN 107699

Legal name

GENESIS HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 16, 2002

Last certification

Apr 10, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 20, 1994 in FL

Enrollment address

1175 NE 125TH St
Ste 618
North Miami, FL 33161-5013

Listed as

Genesis Home Health IncCCN 107699 · All quality measures

Ownership

Proprietary

Certified

Apr 16, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1659340149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 618",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615013",
            "telephone_number": "305-757-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST STE 618",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615013",
            "telephone_number": "305-757-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DIRECTOR/ CEO",
        "authorized_official_telephone_number": "305-757-5999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "215630951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650424800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010494600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremie Gelin, STUDENT
• Jules Andre Gelin, OTR/L
• Karen Fern Geller, LCSW
• Tricia N. Gelser, PTA
• General Home Medical Supply
• Geneva Health PA
• Gentle Hearts Home Services, LLC
• Rose Gerard
• GG Orthotics LLC
• Diana Gil-Triana, PTA

• Home Health Agency in North Miami, FL
• Providers in North Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.