Genesis Family Home in Concord - Residential Treatment Facility, Emotionally Disturbed Children
Genesis Family Home - NPI 1629299532
Genesis Family Home is a Residential Treatment Facility, Emotionally Disturbed Children in Concord, North Carolina. Genesis Family Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Genesis Family Home is 1629299532. The last update date is 2020-08-22.
Genesis Family Home's current location address is 1036 Branchview Dr, Concord, North Carolina. You can contact this provider via phone number 7047939593. The mailing address for Genesis Family Home is 1036 Branchview Dr, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Family Home |
|---|---|
| Address | 1036 Branchview Dr, Concord, North Carolina |
| Phone Number | 7047939593 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Edmond Kennedy John |
| Telephone Number | 7047939593 |
NPI Number Detail
| NPI Number | 1629299532 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1036 Branchview Dr |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280252998 |
| Phone Number | 7047939593 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code assigned to Genesis Family Home by the Centers for Medicare & Medicaid Services?
The Genesis Family Home has been issued the NPI (National Provider Identifier) 1629299532, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Genesis Family Home located?
The Genesis Family Home is located at 1036 Branchview Dr, Concord, NC 280252998.
What is Genesis Family Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Genesis Family Home is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629299532 to Genesis Family Home?
The Genesis Family Home received its 1629299532 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the Genesis Family Home's information last updated?
The Genesis Family Home's information was last updated on 2020-08-22.