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GENESIS RESIDENTIAL CARE CENTER, LLC
NPI 1134555311
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Burlington, NC

Active since September 19, 2013CLIA 34D2051898 · Waiver
236 N MEBANE ST, BURLINGTON, NC 27217(336) 512-2114 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Residential Care Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS RESIDENTIAL CARE CENTER, LLC (NPI 1134555311) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Burlington, North Carolina and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Vivian Haith Timmons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1134555311
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGENESIS RESIDENTIAL CARE CENTER, LLC
Location Address236 N MEBANE STBurlington, NC 27217-3966
Mailing AddressPo Box 1966Burlington, NC 27216-1966
Phone(336) 512-2114
Organization SubpartNo
Authorized OfficialVivian Haith TimmonsCeo · (336) 512-2114
Enumeration DateSeptember 19, 2013
✔ NPI 1134555311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL-001-148
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
236 N MEBANE ST, Burlington, NC 27217
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2051898

Genesis Residential Care Center, LLC · Burlington, NC
Active · expires Jan 1, 2027
CLIA Number34D2051898
Laboratory TypeGroup Home-Dda
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorVivian Timmons
Laboratory Phone(336) 512-2114
Laboratory LocationGenesis Residential Care Center, LLC2211 Roger Street, Burlington, NC 27217
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CNC ACCESS INC
Community/Behavioral Health
236 N MEBANE ST, SUITE 105
BURLINGTON, NC 27217
Alamance County (800) 866-0860
RAINA KATHLEEN ROPER MSW, P-LCSW
Social Worker (Clinical)
236 N MEBANE ST, SUITE 101
BURLINGTON, NC 27217
Alamance County (336) 436-0074
CNC ACCESS INC
Community/Behavioral Health
236 N MEBANE ST, SUITE 102
BURLINGTON, NC 27217
Alamance County (800) 866-0860
SOLUTIONS COMMUNITY SUPPORT AGENCY, LLC
Community/Behavioral Health
236 N MEBANE ST, SUITE NUMBER 101
BURLINGTON, NC 27217
Alamance County (336) 436-0074
CNC ACCESS INC
Community/Behavioral Health
236 N MEBANE ST, SUITE 102
BURLINGTON, NC 27217
Alamance County (800) 866-0860
MRS. CORA ADAMS STRICKLAND X MA, LCMHCS
Counselor (Mental Health)
236 N MEBANE ST, SUITE 101
BURLINGTON, NC 27217
Alamance County (336) 436-0074
SOLUTIONS COMMUNITY SUPPORT AGENCY LLC
Community/Behavioral Health
236 N MEBANE ST, SUITE 101
BURLINGTON, NC 27217
Alamance County (336) 436-0074
CNC ACCESS INC
Community/Behavioral Health
236 N MEBANE ST, SUITE 102
BURLINGTON, NC 27217
Alamance County (800) 866-0860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Residential Care Center, LLC's NPI number?

The NPI number for Genesis Residential Care Center, LLC is 1134555311. It was assigned to this organization in the NPPES registry on September 19, 2013.

Where is Genesis Residential Care Center, LLC located?

Genesis Residential Care Center, LLC is located at 236 N Mebane St, Burlington, NC 27217. The listed phone number is (336) 512-2114.

What is Genesis Residential Care Center, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Genesis Residential Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2051898) is associated with this NPI, valid through January 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Residential Care Center, LLC was last updated on September 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.