JOSE GERENA NPI 1902202377

NPI Information

NPI: 1902202377
Provider Name: JOSE GERENA
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
11325 VILLAGE BROOK DR
RIVERVIEW, FL
ZIP 33579
Phone: (888) 501-2586
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Jose Gerena is an adult companion in Riverview, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Jose Gerena NPI is 1902202377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11325 VILLAGE BROOK DR
RIVERVIEW, FL
ZIP 33579
Phone: (888) 501-2586

The enumeration date for this NPI number is 11/13/2014 and was last updated on 11/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372600000X	Adult Companion		233767	FLORIDA	Yes
2	376J00000X	Homemaker		233767	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	233767	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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