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GENESIS LIFE LLC
NPI 1528507068
Rehabilitation, Substance Use Disorder Unit in Lacassine, LA

Active since February 16, 2017
21089 SOUTH FRONTAGE ROAD, LACASSINE, LA 70650(337) 936-9197(337) 588-4179 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Genesis Life Llc NPPES

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

GENESIS LIFE LLC (NPI 1528507068) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Lacassine, Louisiana and active in the NPI registry since February 2017. The organization lists Kelvin M Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528507068
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NameGENESIS LIFE LLC
Location Address21089 SOUTH FRONTAGE ROADLacassine, LA 70650
Mailing AddressPo Box 1967Iowa, LA 70647-1967 · (337) 936-9197 · Fax (337) 588-4179
Phone(337) 936-9197
Fax(337) 588-4179
Organization SubpartNo
Authorized OfficialKelvin M SmithAdministrator · (337) 936-9197
Enumeration DateFebruary 16, 2017
✔ NPI 1528507068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
21089 SOUTH FRONTAGE ROAD, Lacassine, LA 70650
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANCTUARY LOUISIANA, LLC
Substance Abuse Rehabilitation Facility
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197
MR. KELVIN MARTIN SMITH CIT
Counselor (Addiction (Substance Use Disorder))
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197
SABRINA KAY WELLS
Counselor (Addiction (Substance Use Disorder))
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 588-4166
SANCTUARY LOUISIANA LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
21089 SOUTH FRONTAGE ROAD
LACASSINE, LA 70650
Jefferson Davis Parish (337) 936-9197

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 Life LLC's NPI number?

The NPI number for Genesis Life LLC is 1528507068. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Genesis Life LLC located?

Genesis Life LLC is located at 21089 South Frontage Road, Lacassine, LA 70650. The listed phone number is (337) 936-9197.

What is Genesis Life LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for Genesis Life LLC was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.