GENESIS HOUSE (NPI# 1134331077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134331077 |
| Entity Type | Organization |
| Organization Name | GENESIS HOUSE |
| Practice Address |
621 34th Ave Seattle WA 98122-0910 |
| Mailing Address |
Po Box 22910 Seattle WA 98122-0910 |
| Practice Telephone | 2068602621 |
| Practice Fax Number | 2063235247 |
| Mailing Telephone | 2068602621 |
| Mailing Fax Number | 2063235247 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFF BOTT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2068602621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | SUBSTANCE ABUSE | 1992023 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GENESIS HOUSE | 3800 Barger Dr, Eugene, OR 97402 |
| System for Award Management (SAM) Entities | GENESIS HOUSE 1,2 AND 3 | 150 Stimson St, Detroit, MI 48201-2410 |
| Colorado Business Entities | GENESIS HOUSE CLEANING AND PAINTING LLC | 9292 Montview Blvd Apt 301, Aurora, CO 80010 |
| System for Award Management (SAM) Entities | GENESIS HOUSE II, INC | 824 Converse St, Longmeadow, MA 01106-1773 |
| System for Award Management (SAM) Entities | GENESIS HOUSE III, INC. | 832 Converse St Ste 1, Longmeadow, MA 01106-1742 |
| System for Award Management (SAM) Entities | GENESIS HOUSE, INC. | 832 Converse St Ste 1, Longmeadow, MA 01106-1742 |
| Iowa Business Entities | GENESIS HOUSE, INC. | Po Box 262, Orange City, IA 51250 |
| Indiana Business Entities | GENESIS HOUSE, INC. | 16 Greenacres, Laporte, IN 46350 |
| Street Address |
621 34TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-0910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| 1518203785 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 11900 Beacon Avenue S., Seattle, WA 98178 | 2012-12-17 |
| 1760715536 | Seattle Drug and Narcotic Center Inc | Substance Abuse Rehabilitation Facility | 10344 14th Ave S, Seattle, WA 98168-1689 | 2009-09-11 |
| 1932252624 | Recovery Centers of King County | Substance Abuse Rehabilitation Facility | 1701 18th Ave S, Seattle, WA 98144-4317 | 2007-01-18 |
| 1215002365 | Seattle Indian Health Board | Substance Abuse Rehabilitation Facility | 9236 Renton Ave S, Seattle, WA 98118-5322 | 2006-11-22 |
| 1477644201 | Perinatal Treatment Services | Substance Abuse Rehabilitation Facility | 600 N 130th St, Seattle, WA 98133-7946 | 2006-09-27 |
| 1477010809 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 7440 W Marginal Way S, Seattle, WA 98108-4141 | 2019-02-21 |
| 1316459845 | Northbound Treatment Services of Washington, LLC | Substance Abuse Rehabilitation Facility | 510 2nd Ave W, Seattle, WA 98119-3928 | 2017-10-24 |
| 1366590770 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 10001 17th Pl S, Seattle, WA 98168-1615 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1073995080 | The Haven Detox Center LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.