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GENESIS HOUSE, INC
NPI 1518124783
Public Health or Welfare in Bloomsburg, PA

Active since May 16, 2008CLIA Certified · 3 labs
823 CENTRAL ROAD, BLOOMSBURG, PA 17815(570) 322-0520(570) 326-9674 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Genesis House, Inc NPPES

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

GENESIS HOUSE, INC (NPI 1518124783) is a healthcare organization registered as a public health or welfare in Bloomsburg, Pennsylvania and active in the NPI registry since May 2008. The organization holds 3 active CLIA laboratory certificates and lists Shakeena Bernique Lee, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1518124783
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameGENESIS HOUSE, INC
Location Address823 CENTRAL ROADBloomsburg, PA 17815
Mailing Address800 West 4th Street, Ste G-01Williamsport, PA 17701-7201 · (570) 322-0520 · Fax (570) 326-9674
Phone(570) 322-0520
Fax(570) 326-9674
Organization SubpartYesParent: Genesis House, Inc.
Authorized OfficialShakeena Bernique LeeExecutive Director · (570) 322-0520
Enumeration DateMay 16, 2008
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1518124783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 197052 (PA)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
823 CENTRAL ROAD, Bloomsburg, PA 17815
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Other Identifiers 2

Medicaid1007283800PA
Medicaid10072838000027PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2193850

Genesis House, Inc · Williamsport, PA
Active · expires Sep 22, 2028
CLIA Number39D2193850
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorDr. Ilene K. Weizer
Laboratory Phone(570) 322-0520
Laboratory LocationGenesis House, Inc800 W 4th St, Ste G-01, Williamsport, PA 17701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2193840

Genesis House, Inc · Bloomsburg, PA
Active · expires Aug 27, 2028
CLIA Number39D2193840
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 28, 2026
Certificate Expiration DateAugust 27, 2028
Laboratory DirectorDr. Ilene K. Weizer
Laboratory Phone(570) 322-0520
Laboratory LocationGenesis House, Inc823 Central Road, Bloomsburg, PA 17815
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2193841

Genesis House, Inc · Harrisburg, PA
Active · expires Aug 25, 2028
CLIA Number39D2193841
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 26, 2026
Certificate Expiration DateAugust 25, 2028
Laboratory DirectorDr. Ilene K. Weizer
Laboratory Phone(570) 322-0520
Laboratory LocationGenesis House, Inc121 Locust St 2nd & 3rd Fl, Harrisburg, PA 17101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 House, Inc's NPI number?

The NPI number for Genesis House, Inc is 1518124783. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Genesis House, Inc located?

Genesis House, Inc is located at 823 Central Road, Bloomsburg, PA 17815. The listed phone number is (570) 322-0520.

What is Genesis House, Inc's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Genesis House, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Genesis House, Inc accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Genesis House, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis House, Inc was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.