Organization Active NPI

Gena'S Retirement Home

  • Assisted Living Facility (Mental Illness)
  • Lauderhill, FL
National Provider Identifier
1710314331
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
4973 Issued in FL
Legal business name
GENA'S RETIREMENT HOME
Practice address
2233 NW 56 Ave
Lauderhill, FL 33313
Phone
(954) 452-4416
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Mrs. Gena Ackbersingh
Title
President
Phone
(954) 452-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 4973 FL Primary

Addresses

Primary practice location

2233 NW 56 Ave
Lauderhill, FL 33313

Mailing address

2233 NW 56TH Ave
Lauderhill, FL 33313-3003
Phone (954) 733-9614

Other identifiers 1

IdentifierTypeStateIssuer
140321400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Gena Retirement Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1710314331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 NW 56TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133003",
            "telephone_number": "954-733-9614",
            "fax_number": "954-733-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 NW 56 AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-452-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENA'S RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "ACKBERSINGH",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-452-4416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "4973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140321400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.