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GENESIS BEHAVIORAL SERVICES, INC
NPI 1164012373
Substance Abuse Rehabilitation Facility in Racine, WI

Active since January 21, 2021CLIA 52D2146414 · Waiver
4107 SAINT CLAIR ST, RACINE, WI 53402(414) 939-7145(414) 321-5935 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Behavioral Services, Inc NPPES

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

GENESIS BEHAVIORAL SERVICES, INC (NPI 1164012373) is a healthcare organization registered as a substance abuse rehabilitation facility in Racine, Wisconsin and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Karl Rajani, President, as its authorized official.

NPPES Registry Identity

NPI1164012373
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGENESIS BEHAVIORAL SERVICES, INC
Location Address4107 SAINT CLAIR STRacine, WI 53402-3007
Mailing Address2819 W Highland BlvdMilwaukee, WI 53208-3217 · (414) 939-7145 · Fax (414) 321-5935
Phone(414) 939-7145
Fax(414) 321-5935
Organization SubpartNo
Authorized OfficialKarl RajaniPresident · (414) 301-6381
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1164012373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4107 SAINT CLAIR ST, Racine, WI 53402
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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 52D2146414

Genesis Behavioral Services, Inc Crossroads · Caledonia, WI
Active · expires Mar 27, 2028
CLIA Number52D2146414
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorMs. Patricia Faulhaber
Laboratory Phone(414) 377-3021
Laboratory LocationGenesis Behavioral Services, Inc Crossroads4107 St Clair Street, Caledonia, WI 53402
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MATT TALBOT RECOVERY SERVICES, INC
Substance Abuse Rehabilitation Facility
4107 SAINT CLAIR ST
RACINE, WI 53402
Racine County (414) 939-7145

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 Behavioral Services, Inc's NPI number?

The NPI number for Genesis Behavioral Services, Inc is 1164012373. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Genesis Behavioral Services, Inc located?

Genesis Behavioral Services, Inc is located at 4107 Saint Clair St, Racine, WI 53402. The listed phone number is (414) 939-7145.

What is Genesis Behavioral Services, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Genesis Behavioral Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2146414) is associated with this NPI, valid through March 27, 2028. 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 Behavioral Services, Inc was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.