First Genesis Group Home Inc

LBN: First Genesis Group Home Inc
First Genesis Group Home Inc is an health care organization with primary practice located at 1903 Delmar Dr , Greensboro NC 27406-6113. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. First Genesis Group Home Inc can be contacted via phone (336) 274-4447, or through Chambers, Jan via phone (336) 274-4447.

Contact Information

Primary practice address
1903 Delmar Dr Greensboro NC 27406-6113
Phone: (336) 274-4447
Fax: (336) 852-6400
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Jan
Phone: (336) 274-4447

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-728 North Carolina

Profile Details

NPI number 1346335288
LBN Legal business name First Genesis Group Home Inc
DBA Doing business as
Authorized official Chambers, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 9th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346335288 NPPES
North Carolina MEDICAID 6603817

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