GENESIS HOUSE INC. NPI 1487958716

NPI Information

  • NPI: 1487958716
  • Provider Name: GENESIS HOUSE, 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

GENESIS HOUSE, 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. GENESIS HOUSE, INC. NPI is 1487958716. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

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

The enumeration date for this NPI number is 12/30/2010 and was last updated on 4/11/2012.

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
1101YM0800XCounselorMental HealthNo
2103TP0016XPsychologistPrescribing (Medical)No
3251S00000XCommunity/Behavioral HealthNo
4251B00000XCase 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
18302550VMEDICAIDNORTH CAROLINA
28303041RMEDICAIDNORTH CAROLINA
36002315MEDICAIDNORTH CAROLINA
45914113MEDICAIDNORTH CAROLINA
58300892HMEDICAIDNORTH CAROLINA
68921979MEDICAIDNORTH CAROLINA
78703125MEDICAIDNORTH CAROLINA
86005952MEDICAIDNORTH CAROLINA
98300892GMEDICAIDNORTH CAROLINA
108302550MEDICAIDNORTH CAROLINA
118300892VMEDICAIDNORTH CAROLINA
128702052MEDICAIDNORTH 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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