Genesis Community Care Incorporated

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GENESIS COMMUNITY CARE INCORPORATED

Practice address

2210 Pierce St
Hollywood, FL 33020-4414

Phone

(786) 262-3668

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By 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

Felicia Senetta Ali

Title

Director

Phone

(786) 262-3668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1760088132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 SW 141ST AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273040",
            "telephone_number": "786-262-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 PIERCE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204414",
            "telephone_number": "786-262-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMMUNITY CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "SENETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-262-3668"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Gehm, LMT
• Diana Lynn Gelfand, LCSW
• Kenneth M Gelman, MD
• Patricia Gene
• General Practice Associates LLC
• Genesis Resources, Inc.
• Genesiscare USA of Florida LLC (Frederic L Bushkin MD)
• Genesiscare USA of Florida LLC (GenesisCare Center for Oncology)
• Genesiscare USA of Florida, LLC (Masel Urology Center)
• Genome LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.