MEDICARE: GENESIS COMPREHENSIVE HOME HEALTH CARE SERVICES 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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1144461443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS COMPREHENSIVE HOME HEALTH CARE SERVICES INC.

Provider Business Mailing Address
First Line	:	14680 SW 8TH ST
Second Line	:	SUITE 209
City	:	MIAMI
State	:	FL
Zip	:	33184-3137
Country	:	US
Telephone Number	:	305-559-8946
Fax Number	:	305-559-8948

Provider Business Practice Location Address
First Line	:	14680 SW 8TH ST
Second Line	:	SUITE
City	:	MIAMI
State	:	FL
Zip	:	33184-3137
Country	:	US
Telephone Number	:	305-559-8946
Fax Number	:	305-559-8948

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	MRS. MARIELA ISABEL RAMIREZ DE SALAH
Credential	:
Telephone Number	:	305-559-8946

Provider Enumeration Date	:	03/16/2009
Last Update Date	:	09/30/2009

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