NEW GENESISI RESIDENTIAL SERVICES, INC. (NPI# 1275652430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652430 |
| Entity Type | Organization |
| Organization Name | NEW GENESISI RESIDENTIAL SERVICES, INC. |
| Practice Address |
300 Downey Pl Gastonia NC 28054-3903 |
| Mailing Address |
1613 W Garrison Blvd Gastonia NC 28052-3635 |
| Practice Telephone | 7046911526 |
| Mailing Telephone | 7046879001 |
| Mailing Fax Number | 7048679099 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ARNOLD ENGLAND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3364323190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL 036 238 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603968 | 05 |
| Street Address |
300 DOWNEY PL |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842607 | Gervonia Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1714 Aster Ln, Gastonia, NC 28054-8303 | 2018-12-16 |
| 1356616890 | Steps for Success Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1024 Junius St, Gastonia, NC 28052-1189 | 2012-03-16 |
| 1982981882 | New Transition LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1589 Rolling Meadow Ln, Gastonia, NC 28054-6325 | 2011-11-07 |
| 1770810301 | Focus Point | Residential Treatment Facility, Emotionally Disturbed Children | 1664 Plyler Lake Rd, Gastonia, NC 28054-3603 | 2009-11-03 |
| 1053552778 | New Beginnings Residential Services Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 S Webb St, Gastonia, NC 28052-3600 | 2009-03-09 |
| 1689828097 | Steps for Success Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 927 Floyd Ln, Gastonia, NC 28052-2700 | 2008-11-12 |
| 1982854360 | Innerchange Youth Homes LLC | Residential Treatment Facility, Emotionally Disturbed Children | 724 Raindrops Rd, Gastonia, NC 28054-1779 | 2008-09-23 |
| 1720261910 | Kids Depot | Residential Treatment Facility, Emotionally Disturbed Children | 100 May St, Gastonia, NC 28052-0407 | 2007-12-11 |
| 1639352826 | Teen Scene Act 3 | Residential Treatment Facility, Emotionally Disturbed Children | 114 B Hollycrest Lane, Gastonia, NC 28056-9008 | 2007-12-11 |
| 1427277524 | New Place, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1628 Rankin Lake Rd, Gastonia, NC 28052-1888 | 2007-04-25 |
| Find all providers in GASTONIA | ||||
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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.