Genesis House Harrisburg

LBN: Genesis House Harrisburg
Genesis House Harrisburg is an health care organization with primary practice located at 2901 N Sixth Street , Harrisburg PA 17102. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Genesis House Harrisburg can be contacted via phone (717) 236-3126, or through Desanto, James R via phone (570) 322-0520.

Contact Information

Primary practice address
2901 N Sixth Street Harrisburg PA 17102
Fax: (717) 920-5426
Website:
Authorized official contact:
Name: Desanto, James R

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 227060 Pennsylvania

Profile Details

NPI number 1609976661
LBN Legal business name Genesis House Harrisburg
DBA Doing business as
Authorized official Desanto, James R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1609976661 NPPES
Pennsylvania MEDICAID 1007283800004

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