Genesis Therapeutic Services, Inc. in Jacksonville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Genesis Therapeutic Services, Inc. - NPI 1497882195
Genesis Therapeutic Services, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Jacksonville, North Carolina. Genesis Therapeutic Services, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Genesis Therapeutic Services, Inc. is 1497882195. The last update date is 2020-08-22.
Genesis Therapeutic Services, Inc.'s current location address is 99 Village Dr Ste 12, Jacksonville, North Carolina. You can contact this provider via phone number 9105778200 and fax number 9105778270. The mailing address for Genesis Therapeutic Services, Inc. is 99 Village Dr Ste 12, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Therapeutic Services, Inc. |
|---|---|
| Address | 99 Village Dr Ste 12, Jacksonville, North Carolina |
| Phone Number | 9105778200 |
| Fax Number | 9105778270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Rogers Kendrick |
| Telephone Number | 9105778200 |
NPI Number Detail
| NPI Number | 1497882195 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 99 Village Dr Ste 12 |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285467060 |
| Phone Number | 9105778200 |
| Fax Number | 9105778270 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-067-165 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300859G | NC | -- | |
| 8300858G | NC | -- | |
| 8300859B | NC | -- | |
| 8300858B | NC | -- | |
| 3409583 | NC | -- | |
| 8300858 | NC | -- | |
| 8300859 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Genesis Therapeutic Services, Inc. by the Centers for Medicare & Medicaid Services?
The Genesis Therapeutic Services, Inc. has been issued the NPI (National Provider Identifier) 1497882195, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Genesis Therapeutic Services, Inc. is geographically located?
The Genesis Therapeutic Services, Inc. is physically situated at the following location: 99 Village Dr Ste 12, Jacksonville, NC, 285467060.
What is the Genesis Therapeutic Services, Inc.'s specialty and taxonomy code?
The Genesis Therapeutic Services, Inc.'s specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
When did Genesis Therapeutic Services, Inc. receive its 1497882195 assignment?
The Genesis Therapeutic Services, Inc. was assigned its 1497882195 on 2007-02-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Genesis Therapeutic Services, Inc.'s details last updated?
The information pertaining to the Genesis Therapeutic Services, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC