Provider Demographics
NPI:1427351642
Name:GENESIS CARE CENTERS, CORP.
Entity type:Organization
Organization Name:GENESIS CARE CENTERS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-812-3487
Mailing Address - Street 1:2930 BRICKELL AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2814
Mailing Address - Country:US
Mailing Address - Phone:305-812-3487
Mailing Address - Fax:786-446-8716
Practice Address - Street 1:8395 SW 187TH TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7346
Practice Address - Country:US
Practice Address - Phone:305-255-1881
Practice Address - Fax:786-446-8716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11746310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility