GENESIS ALF OF TAMPA MANAGEMENT GROUP CORP
NPI 1417438854
Assisted Living Facility in Valrico, FL

Q: What is Genesis Alf Of Tampa Management Group Corp's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 23, 2018

1108 BLACK KNIGHT DR, VALRICO, FL 33594(813) 530-0909 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Genesis Alf Of Tampa Management Group Corp NPPES

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

GENESIS ALF OF TAMPA MANAGEMENT GROUP CORP (NPI 1417438854) is a healthcare organization registered as an assisted living facility in Valrico, Florida and active in the NPI registry since August 2018. The organization lists Gladys Kanodereka, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417438854

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGENESIS ALF OF TAMPA MANAGEMENT GROUP CORP

Location Address1108 BLACK KNIGHT DRValrico, FL 33594-5800

Mailing Address1108 Black Knight DrValrico, FL 33594-5800

Phone(813) 530-0909

Organization SubpartNo

Authorized OfficialGladys KanoderekaAdministrator · (813) 330-8424

Enumeration DateAugust 23, 2018

✔ NPI 1417438854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12747

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1108 BLACK KNIGHT DR, Valrico, FL 33594

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Other Identifiers 1

OtherAL12747FL · License Number

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.

COMFORT GARDENS,LLC

Assisted Living Facility

1108 BLACK KNIGHT DR
VALRICO, FL 33594

Hillsborough County (813) 689-3707

AVA CARES, LLC

Assisted Living Facility

1108 BLACK KNIGHT DR
VALRICO, FL 33594

Hillsborough County (813) 300-6177

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 Genesis Alf Of Tampa Management Group Corp's NPI number?

The NPI number for Genesis Alf Of Tampa Management Group Corp is 1417438854. It was assigned to this organization in the NPPES registry on August 23, 2018.

Where is Genesis Alf Of Tampa Management Group Corp located?

Genesis Alf Of Tampa Management Group Corp is located at 1108 Black Knight Dr, Valrico, FL 33594. The listed phone number is (813) 530-0909.

What is Genesis Alf Of Tampa Management Group Corp's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Genesis Alf Of Tampa Management Group Corp was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.