Active NPI
Genesis Health & Rehab, LLC
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1982974820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GENESIS HEALTH & REHAB, LLC
- Practice address
- 8380 SW 124TH St
Miami, FL 33156-5835 - Phone
- (305) 238-4800
- NPI assigned
- Jan 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Wright, MBA
- Title
- Controller
- Phone
- (980) 200-4259
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
8380 SW 124TH St
Miami, FL 33156-5835
Mailing address
1900 Derita Rd Ste 103
Concord, NC 28027-3355
Phone (980) 200-4259
National Provider Directory
National Provider DirectoryLocations
1900 Derita Rd
Ste 103
Concord, NC 28027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1982974820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 DERITA RD STE 103",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273355",
"telephone_number": "980-200-4259",
"fax_number": "404-382-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 SW 124TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565835",
"telephone_number": "305-238-4800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH & REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "980-200-4259",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Genesis Behavior & Counselor LLC
- Genesis Case Management
- Genesis Case Management Services, Corp.
- Genesis Community Mental Health Center Inc
- Genesis Comprehensive Home Health Care Services Inc.
- Genesis Health Group
- Genesis Health Network, Inc
- Genesis I Alf, Inc.
- Genesis Institute of Health Inc
- Genesis Management Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.