MEDICARE: GENESIS HEALTH DEVELOPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1528707379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS HEALTH DEVELOPMENT, INC.

Provider Business Mailing Address
First Line	:	3599 UNIVERSITY BLVD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4252
Country	:	US
Telephone Number	:	904-345-7291
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 S HWY 27
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6526
Country	:	US
Telephone Number	:	352-565-5992
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MANGED CARE
Name	:	JENI ALLEN
Credential	:
Telephone Number	:	904-345-7158

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	12/23/2025

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