GENESIS LIVING (NPI# 1851872832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851872832 |
| Entity Type | Organization |
| Organization Name | GENESIS LIVING |
| Practice Address |
2839 E Courtney St Gilbert AZ 85298-5735 |
| Practice Telephone | 6519556535 |
| Mailing Telephone | 6519556535 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | RITA AGHENTA (ADMINISTRATOR) |
| Authorized Official Telephone | 6519556535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
BH5499 | AZ | Nursing & Custodial Care Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
2839 E COURTNEY ST |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| 1487295671 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 3447 E Dublin St, Gilbert, AZ 85295-3509 | 2019-09-30 |
| 1336605989 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1101 E Goldcrest St, Gilbert, AZ 85297-3128 | 2019-02-19 |
| 1699239160 | Saida Mohamed | Community Based Residential Treatment Facility, Mental Illness | 3722 E Orchid Ct, Gilbert, AZ 85296-8268 | 2019-01-29 |
| 1679092506 | Eureka Imperial Residence 3 | Community Based Residential Treatment Facility, Mental Illness | 1080 E Clifton Ave, Gilbert, AZ 85295-1135 | 2017-09-12 |
| 1912424698 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 2864 E Bellerive Dr, Gilbert, AZ 85298-1001 | 2017-08-24 |
| 1265880090 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 7872 S Abbey Ln, Gilbert, AZ 85298-7449 | 2016-06-02 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1932555810 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3800 E Lafayette Ave, Gilbert, AZ 85298-9130 | 2016-05-10 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on GENESIS LIVING.
| 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.