GENESIS PROFESSIONALS NPI 1841368966

NPI Information

NPI: 1841368966
Provider Name: GENESIS PROFESSIONALS
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1018 GRACE ST
HIGH POINT, NC
ZIP 27260
Phone: (336) 882-9510
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GENESIS PROFESSIONALS is a community based residential treatment facility mental illness in High Point, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GENESIS PROFESSIONALS NPI is 1841368966. The provider is registered as an organization entity type.

The provider's business location address is:

1018 GRACE ST
HIGH POINT, NC
ZIP 27260-131
Phone: (336) 882-9510
Fax: (336) 882-9510

The provider's authorized official is Michael Curtis .
The authorized official title is President and has the following contact phone number (336) 289-7235.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL041667	NORTH CAROLINA	Yes

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
1	8301382	MEDICAID	NORTH CAROLINA
2	6603636	MEDICAID	NORTH 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: 4/28/2024

NPI Synchronization or Removal

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