GENESISHOUSE INC. NPI 1093727893

NPI Information

  • NPI: 1093727893
  • Provider Name: GENESISHOUSE, INC.
  • Classification: Case Management - 251B00000X
  • Entity Type: Organization
  • Address: 549 COX RD
    SUITE A
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 852-3778

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NPI Details

GENESISHOUSE, INC. is a case management in Gastonia, NC. The provider is 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. GENESISHOUSE, INC. NPI is 1093727893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

549 COX RD
SUITE A
GASTONIA, NC
ZIP 28054-628
Phone: (704) 852-3778
Fax: (704) 853-8751

The provider's authorized official is Kelvin Fernandez Hall .
The authorized official title is President and has the following contact phone number (704) 852-3778.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 6/29/2011.

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 License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)9401389NORTH CAROLINANo
2251B00000XCase ManagementYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18303041RMEDICAIDNORTH CAROLINA
26102216MEDICAIDNORTH CAROLINA
38300892VMEDICAIDNORTH CAROLINA
48300892GMEDICAIDNORTH CAROLINA
58303041MEDICAIDNORTH CAROLINA
63418147MEDICAIDNORTH CAROLINA
78300892MEDICAIDNORTH CAROLINA
88300892BMEDICAIDNORTH CAROLINA

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: 11/21/2025

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