GENA OBRY
NPI 1023410545
Custodial Care Facility - Adult Care Home in Winter Haven, FL

Active since September 17, 2014
439 AVENUE D SE, WINTER HAVEN, FL 33880(863) 229-5419 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gena Obry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENA OBRY (NPI 1023410545) is a healthcare organization registered as an adult care home in Winter Haven, Florida and active in the NPI registry since September 2014. The organization lists Gena Obry, Owner, as its authorized official.

NPPES Registry Identity

NPI1023410545
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGENA OBRY
Location Address439 AVENUE D SEWinter Haven, FL 33880-3531
Mailing Address439 Avenue D SeWinter Haven, FL 33880-3531 · (863) 229-5419
Organization SubpartNo
Authorized OfficialGena ObryOwner · (863) 229-5419
Enumeration DateSeptember 17, 2014
NPI 1023410545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906588
Definition
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.
439 AVENUE D SE, Winter Haven, FL 33880

Other Identifiers 1

Medicaid012306000FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
439 AVENUE D SE
WINTER HAVEN, FL 33880
Custodial Care Facility (Adult Care Home)
439 AVENUE D SE
WINTER HAVEN, FL 33880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gena Obry's NPI number?

The NPI number for Gena Obry is 1023410545. It was assigned to this organization in the NPPES registry on September 17, 2014.

Where is Gena Obry located?

Gena Obry is located at 439 Avenue D SE, Winter Haven, FL 33880. The listed phone number is (863) 229-5419.

What is Gena Obry's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Gena Obry was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.