Genesis Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GENESIS ALF LLC

Practice address

4183 E 8TH CT
Hialeah, FL 33013-2401

Phone

(305) 953-4056

Fax

(786) 803-8455

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Dayana Delgado

Title

Owner

Phone

(305) 713-0491

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1992452031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 E 8TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132401",
            "telephone_number": "305-953-4056",
            "fax_number": "786-803-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 E 8TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132401",
            "telephone_number": "305-953-4056",
            "fax_number": "786-803-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-713-0491"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "9693",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genesis Health Center LLC
• Genesis Medical Center, Inc
• Genesis Medical&Rehablitation Center
• Genesis Physicians Management Corp

• Assisted Living Facility in Hialeah, FL
• Providers in Hialeah, 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 Mar 8, 2022; 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.