Genesis Family Home in Concord - Residential Treatment Facility, Emotionally Disturbed Children
Genesis Family Home - NPI 1013132620
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 1013132620. 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 | 1013132620 |
|---|---|
| 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-013-107 |
|
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 |
|---|---|---|---|
| 6603560 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Genesis Family Home by the Centers for Medicare & Medicaid Services?
The Genesis Family Home has been assigned the NPI (National Provider Identifier) 1013132620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Genesis Family Home?
The Genesis Family Home is situated at 1036 Branchview Dr, in the city of Concord, state of NC, with the zip code 280252998.
What is Genesis Family Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Genesis Family Home is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
When did the Genesis Family Home receive its 1013132620?
The Genesis Family Home was issued its 1013132620 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Genesis Family Home most recently updated?
The details pertaining to the Genesis Family Home, including its address, specialty, and other relevant information, were last refreshed on 2008-07-30.