GENESIS PROJECT 1 NPI 1417364480

NPI Information

GENESIS PROJECT 1 is a point of service in Charlotte, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GENESIS PROJECT 1 NPI is 1417364480. The provider is registered as an organization entity type.

The provider's business location address is:

5108 REAGAN DR
SUITE 14
CHARLOTTE, NC
ZIP 28206-103
Phone: (704) 596-0505
Fax: (704) 596-0507

The provider's authorized official is Trasha Black .
The authorized official title is Clinical Director and has the following contact phone number (704) 596-0505.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 7/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.