Genesis Alf of Tampa Bay, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENESIS ALF OF TAMPA BAY, INC

Practice address

714 Village PL
Brandon, FL 33511-6240

Phone

(813) 638-5803

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Miss Gladys Kanodereka

Title

Secretary

Phone

(813) 638-5803

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1912322801",
    "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"
        },
        {
            "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": "813-638-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ALF OF TAMPA BAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "KANODEREKA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-638-5803",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Geer, MS CCC SLP
• Sarah Geiger-Fessahaye, 106S00000X
• Carolyn Jean Gendreau, D.C.
• Lisa Gendron, PT
• Genesis Alf of Brandon, Inc
• Genesis Health Care
• Genesis Rehab Services
• Thomas Scott Gennara, P.A.-C.
• Jasen Genninger
• Gentle Foot Care Clinic, PA

• 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 28, 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.