GENA OBRY (NPI# 1740684554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740684554 |
| Entity Type | Individual |
| Full Name | GENA OBRY |
| Practice Address |
439 Avenue D Se Winter Haven FL 33880-3531 |
| Practice Telephone | 8632295414 |
| Mailing Telephone | 8632295414 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
6906588 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012306000 | 05 |
| Street Address |
439 AVENUE D SE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316288475 | Guardian Adult Home Care | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2013-03-13 |
| 1023410545 | Gena Obry | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621590 | None At This Time | Custodial Care Facility | 725 Crestwood Dr, Winter Haven, FL 33881-2919 | 2016-11-10 |
| 1831552785 | Linda Edler | Custodial Care Facility | 132 Madera Dr, Winter Haven, FL 33880-5678 | 2016-03-29 |
| 1326410515 | Franteria N Hall | Custodial Care Facility | 5871 Windridge Dr, Winter Haven, FL 33881-8793 | 2015-10-27 |
| 1053704981 | Kimberly Inez Adams | Custodial Care Facility | 4681 Mandolin Loop, Winter Haven, FL 33884-3599 | 2015-03-17 |
| 1316288475 | Guardian Adult Home Care | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2013-03-13 |
| 1023410545 | Gena Obry | Custodial Care Facility | 439 Avenue D Se, Winter Haven, FL 33880-3531 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497243 | Two Kinds of Hearts 'llc' | Custodial Care Facility | 1808 Oak Pond Street, Ruskin, FL 33570 | 2020-11-03 |
| 1881293843 | Inspire Family Home Care LLC. | Custodial Care Facility | 566 Forsyth Creek Ct, Apopka, FL 32712-3318 | 2020-10-21 |
| 1336747658 | Eddrena Thornton | Custodial Care Facility | 2233 Bluebird Ave, Bartow, FL 33830-2953 | 2020-10-09 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| 1568077469 | Titilayo M Dipe | Custodial Care Facility | 11215 Gold Compass St, Gibsonton, FL 33534-5698 | 2020-09-09 |
| 1124630892 | Moselene Belizaire | Custodial Care Facility | 3411 9th St W, Lehigh Acres, FL 33971-5357 | 2020-08-23 |
| 1396354395 | Unique Adult Family Care Home Inc. | Custodial Care Facility | 7149 Glenwood Dr, Boynton Beach, FL 33436-9404 | 2020-07-24 |
| 1790301687 | Nancy Isidor | Custodial Care Facility | 1728 Burnham Ct, Clermont, FL 34714-8048 | 2020-06-17 |
| 1326662206 | Yuwaret Haines | Custodial Care Facility | 13566 Rudi Loop, Spring Hill, FL 34609-7964 | 2020-06-05 |
| 1245854686 | Yves Carmen Dorsainvil | Custodial Care Facility | 631 Sw Sardinia Ave, Port Saint Lucie, FL 34953-3746 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on GENA OBRY.
| 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.