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GENEXT LIFE LLC
NPI 1295513299
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC

Active since September 20, 2023
225 SANDY AVE, CHARLOTTE, NC 28213(980) 705-1190 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genext Life Llc NPPES

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

GENEXT LIFE LLC (NPI 1295513299) is a healthcare organization registered as a community based residential treatment facility, mental illness in Charlotte, North Carolina and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Mooresville and lists Ecaroh Jackson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1295513299
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameGENEXT LIFE LLC
Location Address225 SANDY AVECharlotte, NC 28213-5659
Mailing Address1235 East Blvd Ste ECharlotte, NC 28203-5876 · (980) 705-1190
Phone(980) 705-1190
Organization SubpartNo
Authorized OfficialEcaroh JacksonManaging Member · (404) 642-4493
Enumeration DateSeptember 20, 2023
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1295513299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
225 SANDY AVE, Charlotte, NC 28213
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Secondary Practice Location 1

Location 1113 VAQUARO DRMOORESVILLE, NC 28115-0236 · Phone (980) 705-1190

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 Genext Life LLC's NPI number?

The NPI number for Genext Life LLC is 1295513299. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Genext Life LLC located?

Genext Life LLC is located at 225 Sandy Ave, Charlotte, NC 28213. The listed phone number is (980) 705-1190.

What is Genext Life LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Genext Life LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.