NPIMap

Organization Active NPI

Genesis Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boca Raton, FL
National Provider Identifier
1871936336
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GENESIS COMMUNITY HEALTH, INC.
Practice address
181 Crawford Blvd FL 1
Boca Raton, FL 33432-3743
Phone
(561) 235-5477
Fax
(561) 770-1940
NPI assigned
Apr 15, 2013
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Deanna M Warren
Title
President/Ceo
Phone
(561) 735-6553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

181 Crawford Blvd FL 1
Boca Raton, FL 33432-3743

Mailing address

639 E Ocean Ave Ste 409
Boynton Beach, FL 33435-5017
Phone (561) 806-6835

Other identifiers 1

IdentifierTypeStateIssuer
006608603MedicaidFL

Other names 1

  • Boca Raton Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Atlantis High7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

181 Crawford Blvd
Fl 1
Boca Raton, FL 33432
Phone (561) 235-5477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1871936336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E OCEAN AVE STE 409",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355017",
            "telephone_number": "561-806-6835",
            "fax_number": "561-806-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CRAWFORD BLVD FL 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323743",
            "telephone_number": "561-235-5477",
            "fax_number": "561-770-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "561-735-6553"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006608603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Raton Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.