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GENESIS COMMUNITY WELLNESS LLC
NPI 1720612997
Community/Behavioral Health in Miami Gardens, FL

Active since February 26, 2020
2720 NW 167TH ST, MIAMI GARDENS, FL 33054(305) 318-7391 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Community Wellness Llc NPPES

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

GENESIS COMMUNITY WELLNESS LLC (NPI 1720612997) is a healthcare organization registered as a community/behavioral health in Miami Gardens, Florida and active in the NPI registry since February 2020. The organization lists Genesis Abreu Ettienne, President, as its authorized official.

NPPES Registry Identity

NPI1720612997
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENESIS COMMUNITY WELLNESS LLC
Location Address2720 NW 167TH STMiami Gardens, FL 33054-6400
Mailing Address2720 Nw 167th StMiami Gardens, FL 33054-6400 · (305) 318-7391
Phone(305) 318-7391
Organization SubpartNo
Authorized OfficialGenesis Abreu EttiennePresident · (305) 318-7391
Enumeration DateFebruary 26, 2020
✔ NPI 1720612997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2720 NW 167TH ST, Miami Gardens, FL 33054
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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 Community Wellness LLC's NPI number?

The NPI number for Genesis Community Wellness LLC is 1720612997. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Genesis Community Wellness LLC located?

Genesis Community Wellness LLC is located at 2720 NW 167th St, Miami Gardens, FL 33054. The listed phone number is (305) 318-7391.

What is Genesis Community Wellness LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Genesis Community Wellness LLC was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.