FIRST GENESIS GROUP HOME (DBA) BISBEE PLACE NPI 1528255767

NPI Information

NPI: 1528255767
Provider Name: FIRST GENESIS GROUP HOME (DBA) BISBEE PLACE
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4821 BISBEE DR
GREENSBORO, NC
ZIP 27407
Phone: (336) 292-1555
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FIRST GENESIS GROUP HOME (DBA) BISBEE PLACE is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FIRST GENESIS GROUP HOME (DBA) BISBEE PLACE NPI is 1528255767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4821 BISBEE DR
GREENSBORO, NC
ZIP 27407-710
Phone: (336) 292-1555
Fax: (336) 274-6608

The provider's authorized official is Janice M Chambers .
The authorized official title is Executive Director and has the following contact phone number (336) 292-1555.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/3/2011.

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
1	101YP2500X	Counselor	Professional	4173	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	0701003386	VIRGINIA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		041837	NORTH CAROLINA	Yes

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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