Genesis Family Home in Concord - Residential Treatment Facility, Emotionally Disturbed Children
Genesis Family Home - NPI 1649495243
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 1649495243. The last update date is 2008-07-30.
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 | 1649495243 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2008-07-30 |
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 |
| Licence No | MHL-013-060 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603176 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Genesis Family Home by the Centers for Medicare & Medicaid Services (CMS)?
The Genesis Family Home has been assigned the NPI (National Provider Identifier) 1649495243. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Genesis Family Home's facilities are situated?
The facilities of Genesis Family Home are physically located at the following address: 1036 Branchview Dr, Concord, NC, 280252998.
What is the area of specialization for Genesis Family Home, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Genesis Family Home is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649495243 to Genesis Family Home?
The Centers for Medicare & Medicaid Services assigned the 1649495243 to Genesis Family Home on 2007-04-17.
When was the information regarding Genesis Family Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Genesis Family Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-30.