GENESIS HOUSE, INC. (NPI# 1487958716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487958716 |
Entity Type | Organization |
Organization Name | GENESIS HOUSE, INC. |
Practice Address |
549 Cox Rd Suite A Gastonia NC 28054-0628 |
Mailing Address |
Po Box 551389 Gastonia NC 28055-1389 |
Practice Telephone | 7048523778 |
Mailing Telephone | 7048523778 |
Enumeration Date | 2010-12-30 |
Last Update Date | 2012-04-11 |
Authorized Official Name | KELVIN HALL (PRESIDENT/CEO) |
Authorized Official Telephone | 7048523778 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 251B00000X | Case Management | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5914113 | 05 | |
NC | 8702052 | 05 | |
NC | 8300892H | 05 | |
NC | 6002315 | 05 | |
NC | 8302550 | 05 | |
NC | 8300892V | 05 | |
NC | 8302550V | 05 | |
NC | 8703125 | 05 | |
NC | 6005952 | 05 | |
NC | 8300892G | 05 | |
NC | 8303041R | 05 | |
NC | 8921979 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366982274 | Genesis House, Inc. | Counselor | 2 E Main St, Elizabethville, PA 17023-2026 | 2017-02-27 |
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 |
549 COX RD SUITE A |
City | GASTONIA |
State | NC |
Zip Code | 28054-0628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093727893 | Genesishouse, Inc. | Psychologist | 549 Cox Rd, Suite A, Gastonia, NC 28054-0628 | 2006-08-12 |
1811546906 | Alonzo Galvin Booker | Social Worker | 549 Cox Rd, Gastonia, NC 28054-0628 | 2019-09-10 |
1124586805 | Tonya Costner | Counselor | 549 Cox Rd, Gastonia, NC 28054-0628 | 2019-03-12 |
1497251888 | Gloria Bailey | Social Worker | 549 Cox Rd, Gastonia, NC 28054-0628 | 2018-04-04 |
1437664547 | Melissa Bigger | Counselor | 549 Cox Rd, Gastonia, NC 28054-0628 | 2017-12-12 |
1215452362 | Lashawn Cooley | Social Worker | 549 Cox Rd, Gastonia, NC 28054-0628 | 2017-08-10 |
1033646526 | Zoe Leary | Marriage & Family Therapist | 549 Cox Rd, Gastonia, NC 28054-0628 | 2017-05-16 |
1457894784 | Tanwanda Smith | Counselor | 549 Cox Rd, Gastonia, NC 28054-0628 | 2016-11-17 |
1538522974 | Deidra Cribb | Counselor | 549 Cox Rd, Gastonia, NC 28054-0628 | 2016-04-02 |
1427419969 | Jennifer Kolb | Counselor | 549 Cox Rd, Gastonia, NC 28054-0628 | 2016-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
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Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790256394 | Heart Toheart Women In Crisis Center | Case Management | 1209b S York St, Gastonia, NC 28052-6127 | 2018-12-09 |
1356649990 | Impact Community and Family Services, Inc | Case Management | 312 Woodstream Dr, Gastonia, NC 28056-6923 | 2011-03-07 |
1023253135 | Priority Healthcare Services | Case Management | 4105 Everest Dr, Gastonia, NC 28054-0003 | 2008-12-04 |
1689819849 | Shephards Hand Inc | Case Management | 619 E Price Ave Ste 4, Gastonia, NC 28054-0471 | 2008-12-02 |
1225206915 | Quality Improvement Services | Case Management | 543 Cox Rd Ste B-6, Gastonia, NC 28054-0607 | 2008-02-14 |
1497943294 | Carolina Total Care Services, Inc. | Case Management | 311 S Willow St, Gastonia, NC 28054-4453 | 2007-10-06 |
1053517888 | Community Living and Choices | Case Management | 318 S South St Ste B, Gastonia, NC 28052-4379 | 2007-06-27 |
1730216656 | Greater Metrolina Mental Health Services, Inc. | Case Management | 609 S New Hope Rd, Suite 103, Gastonia, NC 28054-4876 | 2007-02-27 |
1821137332 | N-able Services, Inc. | Case Management | 921 Nottingham Drive, # 10, Gastonia, NC 28054-8346 | 2007-02-05 |
1356489363 | Childrens Advocacy Network LLC | Case Management | 526 Ruby Ln, Gastonia, NC 28054-4930 | 2007-02-02 |
Find all providers in GASTONIA |
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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.