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

Active since May 16, 2008
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: October 04, 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 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

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.

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 11 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.