GENA OBRY
NPI 1740684554
Custodial Care Facility - Adult Care Home in Winter Haven, FL

Active since October 22, 2014
439 AVENUE D SE, WINTER HAVEN, FL 33880(863) 229-5414 Get Directions Write a Review

NPPES record last updated: October 22, 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 1740684554) is an individual adult care home provider in Winter Haven, Florida, licensed in Florida (6906588) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1740684554
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameGENA OBRY
Location Address439 AVENUE D SEWinter Haven, FL 33880-3531
Mailing Address439 Avenue D SeWinter Haven, FL 33880-3531 · (863) 229-5414
Sole ProprietorYes
Enumeration DateOctober 22, 2014
NPI 1740684554 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 1740684554. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Where is Gena Obry located?

Gena Obry practices at 439 Avenue D SE, Winter Haven, FL 33880. The listed phone number is (863) 229-5414.

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 October 22, 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.