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GENESIS AND LIGHT CENTER
NPI 1457768814
Clinic/Center - Adult Day Care in Jackson, MS

Active since July 17, 2014
4914 N STATE ST, JACKSON, MS 39206(601) 362-6736(601) 362-6737 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis And Light Center NPPES

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

GENESIS AND LIGHT CENTER (NPI 1457768814) is a healthcare organization registered as an adult day care in Jackson, Mississippi and active in the NPI registry since July 2014. The organization lists Albert Wilson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457768814
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameGENESIS AND LIGHT CENTER
Location Address4914 N STATE STJackson, MS 39206-4046
Mailing Address4914 N State StJackson, MS 39206-4046 · (601) 362-6736 · Fax (601) 362-6737
Phone(601) 362-6736
Fax(601) 362-6737
Organization SubpartNo
Authorized OfficialAlbert WilsonExecutive Director · (601) 362-6736
Enumeration DateJuly 17, 2014
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1457768814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
Also ListedVoluntary or CharitableTaxonomy 251V00000X · License 25C4PAS-5598 (MS)
4914 N STATE ST, Jackson, MS 39206
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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 And Light Center's NPI number?

The NPI number for Genesis And Light Center is 1457768814. It was assigned to this organization in the NPPES registry on July 17, 2014.

Where is Genesis And Light Center located?

Genesis And Light Center is located at 4914 N State St, Jackson, MS 39206. The listed phone number is (601) 362-6736.

What is Genesis And Light Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Genesis And Light Center was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.