GENESIS HOUSE, INC (NPI# 1932343019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932343019 |
| Entity Type | Organization |
| Organization Name | GENESIS HOUSE, INC |
| Practice Address |
759 Thunder Rd Spindale NC 28160-1160 |
| Mailing Address |
1528 Union Rd Gastonia NC 28054-2200 |
| Practice Telephone | 8282888801 |
| Practice Fax Number | 8282888803 |
| Mailing Telephone | 7048523778 |
| Mailing Fax Number | 7048538751 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | MR. KELVIN HALL (PRESIDENT/CEO) |
| Authorized Official Telephone | 7048523778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302550B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831265495 | Genesis House, Inc | Substance Abuse Rehabilitation Facility | 1149 Warren Ave, Vallejo, CA 94591-7512 | 2006-11-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GENESIS HOUSE, INC. | 832 Converse St Ste 1, Longmeadow, MA 01106-1742 |
| Iowa Business Entities | GENESIS HOUSE, INC. | Po Box 262, Orange City, IA 51250 |
| Street Address |
759 THUNDER RD |
| City | SPINDALE |
| State | NC |
| Zip Code | 28160-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598170888 | April Hill | Counselor | 172 South Oak Street, Suite C, Spindale, NC 28160 | 2014-06-25 |
| 1083046254 | Solid Foundations Counseling Center | Community/Behavioral Health | 172 S Oak St Suite C, Spindale, NC 28160 | 2013-07-30 |
| 1386874246 | Jessica Penson Haynes | Pharmacist | 109 West Main S, Spindale Drug Co Inc, Spindale, NC 28160 | 2009-07-24 |
| 1346433281 | Family Preservation Services | Community/Behavioral Health | 271-a Callahan Koon Rd., Spindale, NC 28160 | 2007-08-23 |
| 1275750226 | Kevin Douglas Hendrickson | Social Worker | 303 Fairground Rd, Spindale, NC 28160 | 2007-04-19 |
| 1073015046 | Christian Ann Kaufman | Registered Nurse | 187 W Main St, Spindale, NC 28160 | 2018-03-06 |
| 1558664193 | Spindale Drug Co Inc | Pharmacy | 109 W Main St, Spindale, NC 28160 | 2010-12-20 |
| 1164732434 | Kathryn Whiteside Mcdonald | Pharmacist | 109 West Main Street, Spindale, NC 28160 | 2010-10-20 |
| 1306164843 | Lori Ann Tipton | Psychologist | 521 E Main St, Spindale, NC 28160 | 2010-05-07 |
| 1275653644 | Tipton Childrens Facility, Ltd. | Psychologist | 521 E Main St, Spindale, NC 28160 | 2007-03-30 |
| Find all providers in zip 28160 | ||||
| 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 |
|---|---|---|---|---|
| 1235588419 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 161 N Oak St, Spindale, NC 28160-1208 | 2016-06-08 |
| 1083046254 | Solid Foundations Counseling Center | Community/Behavioral Health | 172 S Oak St Suite C, Spindale, NC 28160 | 2013-07-30 |
| 1053602565 | Families Together, Inc. | Community/Behavioral Health | 181 Oak St, Spindale, NC 28160-1596 | 2011-05-02 |
| 1346433281 | Family Preservation Services | Community/Behavioral Health | 271-a Callahan Koon Rd., Spindale, NC 28160 | 2007-08-23 |
| 1396297545 | Solid Foundations Counseling Center | Community/Behavioral Health | 737 E Main St, Spindale, NC 28160-1938 | 2016-11-03 |
| 1407159601 | Family Presevation Services of North Carolina | Community/Behavioral Health | 271a Callahan Koon Rd, Spindale, NC 28160-2207 | 2010-12-09 |
| 1124266457 | Parkway Beahvioral Health | Community/Behavioral Health | 271 Callahan Koon Rd, Spindale, NC 28160-2207 | 2009-01-23 |
| 1548339062 | Parkway Behavioral Health LLC | Community/Behavioral Health | 271 Callahan Koon Rd, Spindale, NC 28160-2207 | 2006-11-07 |
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|---|---|---|---|---|
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| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.