Genesis Family Home
Residential Treatment Facility, Emotionally Disturbed Children in Concord, NC. Organization (NPI-2).
Details
- NPI
- 1629299532
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Family Home
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Practice location
1036 Branchview DrSuite 201
Concord, NC 28025-2998
Phone 704-793-9593
Mailing address
1036 Branchview DrSuite 201
Concord, NC 28025-2998
Phone 704-793-9593
Authorized official
John Kennedy Edmond
Executive Director Owner
7047939593
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 17 Emotionally Disturbed Childrens' Residential Treatment Facility providers in Concord · All 4,546 providers in Concord
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