GENESIS GRACE HOME INC NPI 1942803994

NPI Information

NPI: 1942803994
Provider Name: GENESIS GRACE HOME INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
442 BROADWAY
CAMDEN, NJ
ZIP 08103
Phone: (646) 730-0249
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GENESIS GRACE HOME INC is a day training developmentally disabled services in Camden, NJ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GENESIS GRACE HOME INC NPI is 1942803994. The provider is registered as an organization entity type.

The provider's business location address is:

442 BROADWAY
CAMDEN, NJ
ZIP 08103-246
Phone: (646) 730-0249

The provider's authorized official is Evelyn Awundaga .
The authorized official title is Owner and has the following contact phone number (164) 673-0024.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		Yes
2	251E00000X	Home Health		No
3	251G00000X	Hospice Care, Community Based		No
4	251J00000X	Nursing Care		No
5	310400000X	Assisted Living Facility		No
6	314000000X	Skilled Nursing Facility		No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
8	343900000X	Non-emergency Medical Transport (VAN)		No
9	385H00000X	Respite Care		No
10	385HR2050X	Respite Care	Respite Care Camp	No
11	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
12	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
13	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
14	253Z00000X	In Home Supportive Care		No
15	251S00000X	Community/Behavioral Health		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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