Genesis Therapeutic Services, Inc.

LBN: Genesis Therapeutic Services, Inc.
Genesis Therapeutic Services, Inc. is an health care organization with primary practice located at 99 Village Dr Ste 12 , Jacksonville NC 28546-7060. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Genesis Therapeutic Services, Inc. can be contacted via phone (910) 577-8200, or through Rogers, Kendrick via phone (910) 577-8200.

Contact Information

Primary practice address
99 Village Dr Ste 12 Jacksonville NC 28546-7060
Phone: (910) 577-8200
Fax: (910) 577-8270
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Kendrick
Phone: (910) 577-8200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-067-165 North Carolina

Profile Details

NPI number 1497882195
LBN Legal business name Genesis Therapeutic Services, Inc.
DBA Doing business as
Authorized official Rogers, Kendrick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1497882195 NPPES
North Carolina MEDICAID 8300859G
North Carolina MEDICAID 8300858G
North Carolina MEDICAID 8300859B
North Carolina MEDICAID 8300858B
North Carolina MEDICAID 3409583
North Carolina MEDICAID 8300858
North Carolina MEDICAID 8300859

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