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GENESIS HEALTHCARE INC
NPI 1265295125
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD

Active since February 02, 2024
8509 GLEN MICHAEL LN APT T3, RANDALLSTOWN, MD 21133(410) 258-0565 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Sep 13, 2024, Aug 6, 2024 (3 updates tracked since 2024).

About Genesis Healthcare Inc NPPES

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

GENESIS HEALTHCARE INC (NPI 1265295125) is a healthcare organization registered as a psychiatric/mental health in Randallstown, Maryland and active in the NPI registry since February 2024. The organization lists Bolaji Olugboja, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265295125
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGENESIS HEALTHCARE INC
Location Address8509 GLEN MICHAEL LN APT T3Randallstown, MD 21133-5227
Mailing Address127 Pittston CirOwings Mills, MD 21117-1723 · (410) 258-0565 · Fax (410) 237-6306
Phone(410) 258-0565
Organization SubpartNo
Authorized OfficialBolaji OlugbojaMedical Director · (410) 258-0565
Enumeration DateFebruary 2, 2024
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1265295125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
8509 GLEN MICHAEL LN APT T3, Randallstown, MD 21133
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Other Names 1

Doing Business AsGenesis Healthcare Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Healthcare Inc's NPI number?

The NPI number for Genesis Healthcare Inc is 1265295125. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Genesis Healthcare Inc located?

Genesis Healthcare Inc is located at 8509 Glen Michael Ln Apt T3, Randallstown, MD 21133. The listed phone number is (410) 258-0565.

What is Genesis Healthcare Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Genesis Healthcare Inc was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.