NPIMap

Organization Active NPI

Genoma Home Health Care Agency, Inc.

  • Home Health Agency
  • Lake Clarke Shores, FL
National Provider Identifier
1972928455
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GENOMA HOME HEALTH CARE AGENCY, INC.
Practice address
1499 Forest Hill Blvd
Suite 106
Lake Clarke Shores, FL 33406-6050
Phone
(561) 410-5622
Fax
(561) 410-5621
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Raydel Miranda
Title
President
Phone
(561) 410-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1499 Forest Hill Blvd
Suite 106
Lake Clarke Shores, FL 33406-6050

Mailing address

1499 Forest Hill Blvd
Suite 106
Lake Clarke Shores, FL 33406-6050
Phone (561) 410-5622

National Provider Directory

National Provider Directory

Locations

1499 Forest Hill Blvd
Ste 106
West Palm Beach, FL 33406
Phone (561) 410-5622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1972928455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD",
            "address_2": "SUITE 106",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-410-5622",
            "fax_number": "561-410-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD",
            "address_2": "SUITE 106",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-410-5622",
            "fax_number": "561-410-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMA HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAYDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-410-5622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.