GENESIS YOUTH CRISIS CENTER, INC.


Address: 413 Chestnut Street, Parsons, WV 26287
Phone: 3047097020

GENESIS YOUTH CRISIS CENTER, INC. (NPI# 1609383298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609383298
Entity Type Organization
Organization Name GENESIS YOUTH CRISIS CENTER, INC.
Other Organization Name RIDGELINE CHILDREN'S SHELTER
Practice Address 413 Chestnut Street
Parsons
WV 26287
Mailing Address Po Box 546
Clarksburg
WV 26302
Practice Telephone 3047097020
Practice Fax Number 3043999115
Mailing Telephone 3046221907
Mailing Fax Number 3046239346
Enumeration Date 2018-01-04
Last Update Date 2018-01-04
Authorized Official Name EDWARD MATTHEW RUDDER (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 3046221907
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Ridgeline Children's Shelter Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932318086 Genesis Youth Crisis Center, Inc. Community/Behavioral Health 261 Haymond Hwy, Clarksburg, WV 26301-3868 2007-05-22

Office Location

Street Address 413 CHESTNUT STREET
City PARSONS
State WV
Zip Code 26287

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366072852 Delcina A Rogers Technician 202 Long Street, Parsons, WV 26287 2020-01-23
1639278492 Donald H Michels Internal Medicine 206 Spruce Street, Tucker Va Clinic, Parsons, WV 26287 2006-09-21
1780696757 Maureena L Andreas Dentist 104 Kohler St, Parsons, WV 26287 2006-08-11
1528097524 Lisa Dawn Conniff Physician Assistant Rt 1 Box 208, St. George, WV 26287 2006-07-02
1982651659 Paul Dean Steinman Jr. Emergency Medicine 8591 Holly Meadows Road, Parsons, WV 26287 2006-05-28
1013563022 Corey Ritter Pharmacist 134 Main St, Parsons, WV 26287 2019-08-15
1740594696 Schmitt Family Medicine Pllc Clinic/Center 229 Walnut Street, Parsons, WV 26287-0165 2010-08-03
1154592269 Carole Ann Wilson Speech-Language Pathologist 501 Chestnut St, Parsons, WV 26287-1005 2008-03-17
1033380472 Mary Ellen Becker Speech-Language Pathologist 501 Chestnut St, Parsons, WV 26287-1005 2008-03-13
1508037938 Jeannette Marie Paugh Speech-Language Pathologist 501 Chestnut St, Parsons, WV 26287-1005 2008-03-13
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447622618 The Children's Home Society of West Virginia, Inc. Residential Treatment Facility, Emotionally Disturbed Children 142 Cherry St, Daniels, WV 25832-9695 2015-10-27
1649664855 Yale Academy LLC Residential Treatment Facility, Emotionally Disturbed Children 7 Crosswinds Dr, Fairmont, WV 26554-9193 2015-03-25
1366846016 Family Connections, Inc. Residential Treatment Facility, Emotionally Disturbed Children 3305 Tent Church Road, Colliers, WV 26035 2014-10-09
1427470277 Burlington United Methodist Family Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 5162 Us 220 North, Moorefield, WV 26836 2014-01-14
1164776589 Mike Allen Beswick Residential Treatment Facility, Emotionally Disturbed Children 34 Potomac Crossway, Lewisburg, WV 24901-8900 2012-11-07
1730320060 Golden Girl, Inc. Residential Treatment Facility, Emotionally Disturbed Children 999 B Street, Ceredo, WV 25507-0876 2009-03-17
1295972248 Yore Academy, Inc. Residential Treatment Facility, Emotionally Disturbed Children 7 Crosswind Drive, Fairmont, WV 26554 2009-01-13
1215199336 Braley & Thompson, Inc. Residential Treatment Facility, Emotionally Disturbed Children 12 Clotine St, Saint Albans, WV 25177-2509 2008-06-30
1366602039 Board of Child Care, Wv Residential Treatment Facility, Emotionally Disturbed Children 715 Brown Rd, Martinsburg, WV 25404-7282 2008-06-16
1104086503 Charles W. Cammack Children's Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 64 6th Ave W, Huntington, WV 25701-1751 2008-06-10
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Competitor

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City PARSONS
Zip Code 26287

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Dataset Information

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.

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