GENESIS RECOVERY SERVICES, INC. (NPI# 1295753895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295753895 |
| Entity Type | Organization |
| Organization Name | GENESIS RECOVERY SERVICES, INC. |
| Practice Address |
2825 W 42nd Ave Anchorage AK 99517-2830 |
| Practice Telephone | 9072435130 |
| Practice Fax Number | 9072488350 |
| Mailing Telephone | 9072435130 |
| Mailing Fax Number | 9072488350 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | DR. ANTHONY LONGVAL JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9072435130 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 297960 | AK | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | SUBSTANCE ABUSE TREATMENT | 324500000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871953968 | Genesis Recovery Services, Inc. | Community/Behavioral Health | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2016-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GENESIS RECOVERY SERVICES, INC. | 12711 Moorpark St #115, Studio City, CA 91604 |
| Connecticut Business Registrations | GENESIS RECOVERY SERVICES, INC. | 9045 Lafontana Blvd., Ste. 201, Boca Raton, FL 33434 |
| New York State Corporations | GENESIS RECOVERY SERVICES, INC. | 14431 Ventura Blvd, 621, Sherman Oaks, Ca 91423 |
| Street Address |
2825 W 42ND AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99517-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275551855 | Donalita Grace Maloney | Psychologist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2006-07-18 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1023641412 | Rashad Dominic Arnsworth | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-02-13 |
| 1326671884 | Cora Denea Moonin | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-02-12 |
| 1063073419 | Louise Diane Shavings | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1215598677 | Lynden Grothe | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1710548078 | Stephanie Rene Claiborne | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1376104646 | Stancer Hall | Behavior Technician | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1629639901 | Jason Noel | Behavior Technician | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| 1245891571 | Michael Ralph Jacobs | Counselor | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871905679 | Luminary LLC | Massage Therapist | 1838 W. Northern Lights, Anchorage, AK 99517 | 2014-05-28 |
| 1447595129 | Antonina Ivanovna Shangraw | Behavioral Analyst | 2425 Captain Cook Dr, Anchorage, AK 99517 | 2012-12-06 |
| 1407000755 | James N. Duchanin | Physician Assistant | 3105 Lakeshore Dr., Bldg A, Ste 101, Anchorage, AK 99517 | 2008-11-13 |
| 1720290786 | Turnagain Foster Home | Assisted Living Facility | 2812 West 29th Ave, Anchorage, AK 99517 | 2007-05-04 |
| 1124244306 | Turnagain Foster Home | Taxi | 2900 West 29th Ave, Anchorage, AK 99517 | 2007-04-17 |
| 1497825798 | Scott Paul Mackie | Internal Medicine | 3710 Woodland Road, Suite 1100, Anchorage, AK 99517 | 2006-11-08 |
| 1629046446 | Ana Verzone | Nurse Practitioner | 3740 Clay Products Dr., Anchorage, AK 99517 | 2006-03-08 |
| 1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
| 1376697011 | Celia Foley | Speech-Language Pathologist | 2515 Telequana Dr, Anchorage, AK 99517-1028 | 2007-01-22 |
| 1730122946 | Daryl A Young | Nurse Practitioner | 3611 Knik Avenue, Anchorage, AK 99517-1045 | 2006-06-14 |
| Find all providers in zip 99517 | ||||
| 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 |
|---|---|---|---|---|
| 1992281034 | Akeela Inc | Substance Abuse Rehabilitation Facility | 2804 Bering St, Anchorage, AK 99503-3820 | 2018-07-12 |
| 1124147905 | The Salvation Army Clitheroe Center - Dual Diagnosis | Substance Abuse Rehabilitation Facility | 8000 W End Rd, Anchorage, AK 99519 | 2007-03-29 |
| 1578124095 | Akeela Inc | Substance Abuse Rehabilitation Facility | 611 W 47th Ave, Anchorage, AK 99503-7138 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220012 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 51310 Timber Bay Court, Homer, AK 99603-9968 | 2019-11-21 |
| 1811532575 | Set Free Alaska, Inc. | Substance Abuse Rehabilitation Facility | 1130 Ocean Dr Ste A, Homer, AK 99603-7919 | 2019-11-16 |
| 1508393869 | Ground Zero Wellness Center | Substance Abuse Rehabilitation Facility | 4670 Killen Ln, Fairbanks, AK 99709-3325 | 2017-05-17 |
| 1306394960 | Akeela Inc | Substance Abuse Rehabilitation Facility | 561 S Denali St Ste F, Palmer, AK 99645-6464 | 2016-09-13 |
| 1730582446 | Starting Point | Substance Abuse Rehabilitation Facility | 230 E Paulson Ave, 76, Wasilla, AK 99654-7001 | 2014-10-08 |
| 1003005828 | Maniilaq Association | Substance Abuse Rehabilitation Facility | 722 Second Ave, Kotzebue, AK 99752-0256 | 2007-10-17 |
| 1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
| 1184814667 | Norton Sound Health Corp | Substance Abuse Rehabilitation Facility | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1205036548 | Norton Sound Health Corporation | Substance Abuse Rehabilitation Facility | 306 5th Ave. W, Nome, AK 99762 | 2007-07-24 |
| 1184778698 | Bartlett Regional Hospital | Substance Abuse Rehabilitation Facility | 3250 Hospital Dr, Juneau, AK 99801-7808 | 2007-01-22 |
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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.