Genesis Project 1

LBN: Genesis Project 1
Genesis Project 1 is an health care organization with primary practice located at 5108 Reagan Dr Suite 14, Charlotte NC 28206-3103. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Genesis Project 1 can be contacted via phone (704) 596-0505, or through Black, Trasha via phone (704) 596-0505.

Contact Information

Primary practice address
5108 Reagan Dr Suite 14 Charlotte NC 28206-3103
Phone: (704) 596-0505
Fax: (704) 596-0507
Website:
Map and Directions
Authorized official contact:
Name: Black, Trasha PHD
Phone: (704) 596-0505

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X P009049 North Carolina

Profile Details

NPI number 1417364480
LBN Legal business name Genesis Project 1
DBA Doing business as
Authorized official Black, Trasha PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2014
Last updated Jul 22nd, 2014 - about 11 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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