Genesis

Nursing Facility/Intermediate Care Facility · Milton, FL

Organization Active NPI

NPI number 1629336359

Practice location

5214 Goshawk Dr
Milton, FL 32570-5020
Phone
(850) 776-8448

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NPI record

NPI
1629336359
Entity type
Organization (Type 2)
Enumeration date
May 1, 2012
Last updated
May 1, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nursing Facility/Intermediate Care Facility Primary 313M00000X TT3185 FL

Authorized official

Name
Donna Cavener, CRTT
Title
Respiratory Therapist
Phone
(850) 776-8448

About Genesis

Genesis is a healthcare organization registered in the NPI registry with the primary taxonomy Nursing Facility/Intermediate Care Facility (code 313M00000X). The practice location is 5214 Goshawk Dr, Milton, FL 32570-5020. The NPI number 1629336359 was assigned on May 1, 2012 and the record was last updated on May 1, 2012.

Genesis lists a license in the registry: #TT3185 (FL) for Nursing Facility/Intermediate Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Donna Cavener, CRTT, Respiratory Therapist.

Frequently asked questions

What is the NPI number of Genesis?

The NPI number is 1629336359.

What is the phone number of Genesis?

The phone number listed for the practice location is (850) 776-8448.

Where is Genesis located?

5214 Goshawk Dr, Milton, FL 32570-5020.

What is the taxonomy code for Genesis?

The primary taxonomy code is 313M00000X – Nursing Facility/Intermediate Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.