GENESIS HOUSE RECOVERY RESIDENCE INC.
NPI 1245383447
Substance Abuse Rehabilitation Facility in Lake Worth, FL

Q: What is Genesis House Recovery Residence Inc.'s specialty?

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

Active since January 19, 2007

4865 40TH WAY S, LAKE WORTH, FL 33461(561) 439-4070(561) 439-4864 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Genesis House Recovery Residence Inc. NPPES

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

GENESIS HOUSE RECOVERY RESIDENCE INC. (NPI 1245383447) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Worth, Florida and active in the NPI registry since January 2007. The organization lists James Anthony Dodge, Exeutive Director, as its authorized official.

NPPES Registry Identity

NPI1245383447

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGENESIS HOUSE RECOVERY RESIDENCE INC.

Location Address4865 40TH WAY SLake Worth, FL 33461-5301

Mailing Address4865 40th Way SLake Worth, FL 33461-5301 · (561) 439-4070 · Fax (561) 439-4864

Phone(561) 439-4070

Fax(561) 439-4864

Organization SubpartNo

Authorized OfficialJames Anthony DodgeExeutive Director · (561) 439-4070

Enumeration DateJanuary 19, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1245383447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in FL · 0950AD652501

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.

4865 40TH WAY S, Lake Worth, FL 33461

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Other Providers at the Same Location NPPES 4

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

URP LAKE WORTH LLC

Substance Abuse Rehabilitation Facility

4865 40TH WAY S
LAKE WORTH, FL 33461

Palm Beach County (549) 654-9072

MR. STEPHEN ADAMS LCSW

Social Worker (Clinical)

4865 40TH WAY S
LAKE WORTH, FL 33461

Palm Beach County (561) 271-6748

GENSIS HOUSE RECOVERY RESIDENCE INC.

Substance Abuse Rehabilitation Facility

4865 40TH WAY S
LAKE WORTH, FL 33461

Palm Beach County (561) 439-4864

DR. JAYSHAL PRAMOD PATEL MD

Internal Medicine (Addiction Medicine)

4865 40TH WAY S
LAKE WORTH BEACH, FL 33461

Palm Beach County (888) 994-8981

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 House Recovery Residence Inc.'s NPI number?

The NPI number for Genesis House Recovery Residence Inc. is 1245383447. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Genesis House Recovery Residence Inc. located?

Genesis House Recovery Residence Inc. is located at 4865 40th Way S, Lake Worth, FL 33461. The listed phone number is (561) 439-4070.

What is Genesis House Recovery Residence Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Genesis House Recovery Residence Inc. was last updated on August 22, 2020. 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.