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GENESIS REVITALIZATION GROUP
NPI 1366308231
Day Training/Habilitation Specialist in Atlantic City, NJ

Active since January 05, 2026
16 S RHODE ISLAND AVE FL 2, ATLANTIC CITY, NJ 08401(609) 335-7373 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Genesis Revitalization Group NPPES

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

GENESIS REVITALIZATION GROUP (NPI 1366308231) is a healthcare organization registered as a day training/habilitation specialist in Atlantic City, New Jersey and active in the NPI registry since January 2026. The organization lists Frank Mccoy Gilliam, Reginal Administrator, as its authorized official.

NPPES Registry Identity

NPI1366308231
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameGENESIS REVITALIZATION GROUP
Location Address16 S RHODE ISLAND AVE FL 2Atlantic City, NJ 08401-7759
Mailing Address16 S Rhode Island Ave Fl 2Atlantic City, NJ 08401-7759 · (609) 335-7373
Phone(609) 335-7373
Organization SubpartNo
Authorized OfficialFrank Mccoy GilliamReginal Administrator · (609) 892-7681
Enumeration DateJanuary 5, 2026
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1366308231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
16 S RHODE ISLAND AVE FL 2, Atlantic City, NJ 08401
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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 Revitalization Group's NPI number?

The NPI number for Genesis Revitalization Group is 1366308231. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Genesis Revitalization Group located?

Genesis Revitalization Group is located at 16 S Rhode Island Ave Fl 2, Atlantic City, NJ 08401. The listed phone number is (609) 335-7373.

What is Genesis Revitalization Group's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Genesis Revitalization Group was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.