GENESIS (NPI# 1548520356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548520356 |
| Entity Type | Organization |
| Organization Name | GENESIS |
| Practice Address |
15204 W Colonial Dr Winter Garden FL 34787-6042 |
| Practice Telephone | 4078772394 |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2012-05-26 |
| Authorized Official Name | LATRICIE E FREEMAN (COTA) |
| Authorized Official Telephone | 3219450713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OTA9873 | FL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023468071 | Genesis | Clinic/Center | 2098 Henderson Way, Lodi, CA 95242-4814 | 2016-06-20 |
| 1588027130 | Genesis | Rehabilitation Hospital | 2266 Biers Run Rd, Chillicothe, OH 45601-9039 | 2016-03-31 |
| 1407213267 | Genesis | Assisted Living Facility | 20 Pelican Dr, Bayville, NJ 08721-1605 | 2016-01-25 |
| 1518357763 | Genesis | Skilled Nursing Facility | 1313 Orange Ave, Santa Ana, CA 92707-1323 | 2015-01-27 |
| 1932501988 | Genesis | Skilled Nursing Facility | 505 Canon Ave, Apt 2, Manitou Springs, CO 80829-2947 | 2014-09-22 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 1164847505 | Genesis | Skilled Nursing Facility | 31 W Cherry St, Box 875, Rising Sun, MD 21911-1781 | 2014-02-21 |
| 1407271851 | Genesis | Skilled Nursing Facility | 916 Greenwood Cir, Coatesville, PA 19320-2133 | 2014-02-21 |
| 1023362183 | Genesis | Skilled Nursing Facility | 925 Park Dr, Dunbar, WV 25064-2624 | 2012-10-28 |
| 1629336359 | Genesis | Nursing Facility/Intermediate Care Facility | 5214 Goshawk Dr, Milton, FL 32570-5020 | 2012-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GENESIS | 15 S 11th, Richmond, IN 47374-5515 |
| Colorado Business Entities | GENESIS | 15621 E Broncos Pl, Englewood, CO 80112 |
| Oregon Corporations, Companies and Business Names | GENESIS | 7561 Crater Lake Hwy Unit C-1, White City, OR 97503 |
| Colorado Business Entities | GENESIS ELECTRONICS RECYCLING | 2045 S Valentia St, Unit 14, Denver, CO 80231 |
| New York State Corporations | GENESIS #1 WEST INDIAN - AMERICAN RESTAURANT INC | 162-23 Hillside Ave, Jamaica, Ny 11432 |
| New York State Corporations | GENESIS & ALIYAH DISTRIBUTORS, INC. | 219 Claremont Ave., 1st Fl., Mt. Vernon, New York 10552 |
| New York State Corporations | GENESIS & D CLEANING SERVICES LLC | 735 Pelham Parkway North, Apt 4s, Bronx, Ny 10467 |
| New York State Corporations | GENESIS & NICOLE CORP. | 2355 Middle Country Rd., Centereach, New York 11720 |
| Connecticut Business Registrations | GENESIS "COLLEGE IS A MUST" FOUNDATION, INC. | 15 Lewis Street, Suite 302, Hartford, CT 06103 |
| Iowa Business Entities | GENESIS - LAND YOUR FUTURE LLC | 2956 D Ave., Montour, IA 50173 |
| Street Address |
15204 W COLONIAL DR |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255971 | Winter Garden Health Care Associates LLC | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2006-05-25 |
| 1447809694 | Eugene Paul Bacolod | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2019-09-10 |
| 1659879229 | Anna Marie Johnson | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2018-01-29 |
| 1992221154 | Jermaine Sheppard | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-08-19 |
| 1215453089 | Charlene Monique Dunn Morono | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-08-14 |
| 1205376092 | Pamela Tsai | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-02-28 |
| 1477098465 | Robinson Gray Alexander | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2016-12-29 |
| 1023466976 | Selena Seymour Dorestant | Speech-Language Pathologist | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2016-06-01 |
| 1437524741 | Carolina Valenzuela- Childs | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2015-12-11 |
| 1760898050 | Christopher Mullis | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2014-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396119772 | Genesis Rehab Services | Skilled Nursing Facility | 32 Regal Pl, Winter Garden, FL 34787-2333 | 2015-11-22 |
| 1316270457 | Frank M Adams | Skilled Nursing Facility | 2738 Balforn Tower Way, Winter Garden, FL 34787-4761 | 2009-09-08 |
| 1689683443 | Mk of Winter Garden LLC | Skilled Nursing Facility | 12751 W Colonial Dr, Winter Garden, FL 34787-4113 | 2006-08-07 |
| 1942255971 | Winter Garden Health Care Associates LLC | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2006-05-25 |
| 1467449249 | West Orange Healthcare District | Skilled Nursing Facility | 411 N Dillard St, Winter Garden, FL 34787-2816 | 2005-10-05 |
| 1790346708 | Winter Garden Rehab, LLC | Skilled Nursing Facility | 12751 W Colonial Dr, Winter Garden, FL 34787-4113 | 2019-06-21 |
| 1265843023 | Latricie Freeman | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2014-05-14 |
| 1194135079 | Brian Smith | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2014-05-01 |
| 1629335542 | Orlando Health Central, Inc. | Skilled Nursing Facility | 411 N Dillard St, Winter Garden, FL 34787-2816 | 2012-04-17 |
| 1043581010 | Carlos Jesus Janzen | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2012-01-23 |
| Find all providers in WINTER GARDEN | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.