GENESIS FAMILY CENTER (NPI# 1578748158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578748158 |
| Entity Type | Organization |
| Organization Name | GENESIS FAMILY CENTER |
| Other Organization Name | GENESIS INC |
| Practice Address |
1260 N Mariposa St Fresno CA 93703-3940 |
| Mailing Address |
1260 N Mariposa Fresn0 CA 93703 |
| Practice Telephone | 5592333246 |
| Mailing Telephone | 5592333246 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | MISS TONGIA SULLIVAN (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 5594395437 |
| Authorized Official Credential | BA SOCIAL WORK |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS SUBSTANCE ABUSE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100043AN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00000000 | 01 |
| Other Name | Type Code |
|---|---|
| GENESIS INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487815510 | Genesis Family Center | Community/Behavioral Health | 37180 Jose Basin Rd, Auberry, CA 93602 | 2008-06-20 |
| 1902067051 | Genesis Family Center | Community/Behavioral Health | 4291 N Millbrook Ave, Fresno, CA 93726-3438 | 2008-06-20 |
| 1265603005 | Genesis Family Center | Community/Behavioral Health | 2910-2920 E Olive Ave, Fresno, CA 93701 | 2008-03-20 |
| 1790956654 | Genesis Family Center | Public Health or Welfare | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-03-19 |
| 1386815520 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-16 |
| 1598921678 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1225294309 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1316103492 | Genesis Family Center | Community/Behavioral Health | 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 | 2008-07-29 |
| 1063675262 | Genesis Family Center | Community/Behavioral Health | 603 3rd St, Parlier, CA 93648-2028 | 2008-07-08 |
| 1679744452 | Genesis Family Center | Community/Behavioral Health | 2920 E Olive Ave, Fresno, CA 93701-1223 | 2008-03-19 |
| Street Address |
1260 N MARIPOSA ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1003413600 | Kings View Corporation | Community/Behavioral Health | 7170 N Financial Dr Ste 110, Fresno, CA 93720-2935 | 2020-10-06 |
| 1396360855 | North Star Wellness Center, Inc | Community/Behavioral Health | 6051 N Fresno St Ste 105, Fresno, CA 93710-5280 | 2020-06-10 |
| 1710509377 | Mary Kay Buckley, Psychotherapist Inc | Community/Behavioral Health | 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 | 2020-05-17 |
| 1992345797 | Quality Group Homes, Inc. | Community/Behavioral Health | 643 E Sample Ave, Fresno, CA 93710-5428 | 2020-01-09 |
| 1790321412 | Majesty Holistic Health Services | Community/Behavioral Health | 2906 Valiant Elm St, Fresno, TX 77545-8160 | 2019-11-19 |
| 1508410341 | Fresno Youth Care Homes, Inc. | Community/Behavioral Health | 64 E Weldon Ave, Fresno, CA 93704-5956 | 2019-07-30 |
| 1447740063 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3433 W Shaw Ave, Fresno, CA 93711-3229 | 2018-05-18 |
| 1114431897 | My Time Recovery, LLC | Community/Behavioral Health | 1107 W Rialto Ave, Fresno, CA 93705-0918 | 2017-11-17 |
| Find all providers in FRESNO | ||||
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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.