GENESIS
NPI 1619377405
Skilled Nursing Facility in Tampa, FL

Active since August 28, 2014CLIA 10D2178549 · Waiver
518 W FLETCHER AVE, TAMPA, FL 33612(813) 265-1600 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis NPPES

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

GENESIS (NPI 1619377405) is a healthcare organization registered as a skilled nursing facility in Tampa, Florida and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Michelle Pahl, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1619377405
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGENESIS
Location Address518 W FLETCHER AVETampa, FL 33612-3419
Mailing Address518 W Fletcher AveTampa, FL 33612-3419
Organization SubpartNo
Authorized OfficialMichelle PahlPhysical Therapist · (954) 257-9379
Enumeration DateAugust 28, 2014
NPI 1619377405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · PT24363
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
518 W FLETCHER AVE, Tampa, FL 33612

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2178549

Genesis Clinical Research · Tampa, FL
Active · expires Feb 4, 2028
CLIA Number10D2178549
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorJesus O. Navarro
Laboratory Phone(813) 873-1016
Laboratory LocationGenesis Clinical Research2313 W Violet St, Tampa, FL 33603
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Skilled Nursing Facility
518 W FLETCHER AVE
TAMPA, FL 33612
Physical Therapy Assistant
518 W FLETCHER AVE
TAMPA, FL 33612
Occupational Therapy Assistant
518 W FLETCHER AVE
TAMPA, FL 33612
Physical Therapy Assistant
518 W FLETCHER AVE
TAMPA, FL 33612
Occupational Therapist
518 W FLETCHER AVE
TAMPA, FL 33612
Physical Therapist
518 W FLETCHER AVE
TAMPA, FL 33612
Occupational Therapist
518 W FLETCHER AVE
TAMPA, FL 33612
Occupational Therapist
518 W FLETCHER AVE
TAMPA, FL 33612

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's NPI number?

The NPI number for Genesis is 1619377405. It was assigned to this organization in the NPPES registry on August 28, 2014.

Where is Genesis located?

Genesis is located at 518 W Fletcher Ave, Tampa, FL 33612. The listed phone number is (813) 265-1600.

What is Genesis's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Genesis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2178549) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis was last updated on August 28, 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.