Genesis House, Inc.

LBN: Genesis House, Inc.
Genesis House, Inc. is an health care organization with primary practice located at 549 Cox Rd Suite A, Gastonia NC 28054-0628. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Prescribing (Medical), Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Case Management is the primary health care specialty. Genesis House, Inc. can be contacted via phone (704) 852-3778, or through Hall, Kelvin via phone (704) 852-3778.

Contact Information

Primary practice address
549 Cox Rd Suite A Gastonia NC 28054-0628
Phone: (704) 852-3778
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hall, Kelvin
Phone: (704) 852-3778

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1487958716
LBN Legal business name Genesis House, Inc.
DBA Doing business as
Authorized official Hall, Kelvin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2010
Last updated Apr 11th, 2012 - about 12 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 1487958716 NPPES
North Carolina MEDICAID 8300892G
North Carolina MEDICAID 8303041R
North Carolina MEDICAID 8702052
North Carolina MEDICAID 5914113
North Carolina MEDICAID 6002315
North Carolina MEDICAID 6005952
North Carolina MEDICAID 8300892H
North Carolina MEDICAID 8300892V
North Carolina MEDICAID 8703125
North Carolina MEDICAID 8302550
North Carolina MEDICAID 8302550V
North Carolina MEDICAID 8921979

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