Genesis Alf of Brandon, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12132 Issued in FL

Legal business name

GENESIS ALF OF BRANDON, INC

Practice address

714 Village PL
Brandon, FL 33511-6240

Phone

(863) 425-3305

Fax

(888) 371-6124

NPI assigned

Feb 9, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Felecia Rambert

Title

Administrator

Phone

(863) 425-3305

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1720402902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 VILLAGE PL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116240",
            "telephone_number": "863-425-3305",
            "fax_number": "888-371-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 VILLAGE PL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116240",
            "telephone_number": "863-425-3305",
            "fax_number": "888-371-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ALF OF BRANDON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "RAMBERT",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-425-3305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "12132",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Enrique Gazabon, DDS
• Linda Jean Geer, MS CCC SLP
• Sarah Geiger-Fessahaye, 106S00000X
• Carolyn Jean Gendreau, D.C.
• Lisa Gendron, PT
• Genesis Alf of Tampa Bay, Inc
• Genesis Health Care
• Genesis Rehab Services
• Thomas Scott Gennara, P.A.-C.
• Jasen Genninger

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.