GENESIS REIGN SUPPORT SERVICES LLC
NPI 1477254894
Community/Behavioral Health in North Chesterfield, VA

Q: What is Genesis Reign Support Services LLC's NPI number?

The NPI number for Genesis Reign Support Services LLC is 1477254894. It was assigned to this organization in the NPPES registry on March 13, 2023.

Q: What is Genesis Reign Support Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 13, 2023

6406 BAREBACK TER, NORTH CHESTERFIELD, VA 23234(804) 926-3696 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, May 24, 2023, Mar 14, 2023 (3 updates tracked since 2023).

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About Genesis Reign Support Services Llc NPPES

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

GENESIS REIGN SUPPORT SERVICES LLC (NPI 1477254894) is a healthcare organization registered as a community/behavioral health in North Chesterfield, Virginia and active in the NPI registry since March 2023. The organization lists Derrick Dwain Jack, Owner, as its authorized official.

NPPES Registry Identity

NPI1477254894

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGENESIS REIGN SUPPORT SERVICES LLC

Location Address6406 BAREBACK TERNorth Chesterfield, VA 23234-4195

Mailing Address6406 Bareback TerNorth Chesterfield, VA 23234-4195 · (804) 926-3696

Phone(804) 926-3696

Organization SubpartNo

Authorized OfficialDerrick Dwain JackOwner · (804) 926-3696

Enumeration DateMarch 13, 2023

Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1477254894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

6406 BAREBACK TER, North Chesterfield, VA 23234

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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 Reign Support Services LLC's NPI number?

The NPI number for Genesis Reign Support Services LLC is 1477254894. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is Genesis Reign Support Services LLC located?

Genesis Reign Support Services LLC is located at 6406 Bareback Ter, North Chesterfield, VA 23234. The listed phone number is (804) 926-3696.

What is Genesis Reign Support Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Genesis Reign Support Services LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.