Genesishouse, Inc.
LBN: Genesishouse, Inc.
Genesishouse, Inc. is an health care organization with primary practice located at 549 Cox Rd Suite A, Gastonia NC 28054-0628. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Agencies / Case Management. Agencies / Case Management is the primary health care specialty.
Genesishouse, Inc. can be contacted via phone (704) 852-3778, or through Hall, Kelvin Fernandez via phone (704) 852-3778.
Contact Information
Primary practice address
549 Cox Rd Suite A
Gastonia NC 28054-0628
Phone: (704) 852-3778
Fax: (704) 853-8751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 9401389 | North Carolina |
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1093727893 |
|---|---|
| LBN Legal business name | Genesishouse, Inc. |
| DBA Doing business as | |
| Authorized official | Hall, Kelvin Fernandez |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 29th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093727893 | NPPES |
| North Carolina | MEDICAID | 8300892 | |
| North Carolina | MEDICAID | 8300892B | |
| North Carolina | MEDICAID | 3418147 | |
| North Carolina | MEDICAID | 6102216 | |
| North Carolina | MEDICAID | 8303041R | |
| North Carolina | MEDICAID | 8303041 | |
| North Carolina | MEDICAID | 8300892V | |
| North Carolina | MEDICAID | 8300892G |
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