1. Home
  2. Directory
  3. North Carolina
  4. Jacksonville
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

GENESIS THERAPEUTIC SERVICES, INC.
NPI 1497882195
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, NC

Active since February 28, 2007
99 VILLAGE DR STE 12, JACKSONVILLE, NC 28546(910) 577-8200(910) 577-8270 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Therapeutic Services, Inc. NPPES

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

GENESIS THERAPEUTIC SERVICES, INC. (NPI 1497882195) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, North Carolina and active in the NPI registry since February 2007. The organization lists Kendrick Rogers, Program Director, as its authorized official.

NPPES Registry Identity

NPI1497882195
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGENESIS THERAPEUTIC SERVICES, INC.
Location Address99 VILLAGE DR STE 12Jacksonville, NC 28546-7060
Mailing Address99 Village Dr Ste 12Jacksonville, NC 28546-7060 · (910) 577-8200 · Fax (910) 577-8270
Phone(910) 577-8200
Fax(910) 577-8270
Organization SubpartNo
Authorized OfficialKendrick RogersProgram Director · (910) 577-8200
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497882195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL-067-165
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
99 VILLAGE DR STE 12, Jacksonville, NC 28546
Open in Google Maps ↗

Other Identifiers 7

Medicaid8300858BNC
Medicaid8300859NC
Medicaid8300858GNC
Medicaid8300859GNC
Medicaid8300858NC
Medicaid3409583NC
Medicaid8300859BNC

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 Therapeutic Services, Inc.'s NPI number?

The NPI number for Genesis Therapeutic Services, Inc. is 1497882195. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Genesis Therapeutic Services, Inc. located?

Genesis Therapeutic Services, Inc. is located at 99 Village Dr Ste 12, Jacksonville, NC 28546. The listed phone number is (910) 577-8200.

What is Genesis Therapeutic Services, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Genesis Therapeutic Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.