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GENESIS CLUB, INC.
NPI 1568871663
Community/Behavioral Health in Worcester, MA

Active since August 04, 2014
274 LINCOLN ST, WORCESTER, MA 01605(508) 831-0100(508) 753-1286 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Club, Inc. NPPES

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

GENESIS CLUB, INC. (NPI 1568871663) is a healthcare organization registered as a community/behavioral health in Worcester, Massachusetts and active in the NPI registry since August 2014. The organization lists Kevin L Bradley, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1568871663
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENESIS CLUB HOUSE, INC.
Location Address274 LINCOLN STWorcester, MA 01605-2106
Mailing Address274 Lincoln StWorcester, MA 01605-2106 · (508) 831-0100 · Fax (508) 753-1286
Phone(508) 831-0100
Fax(508) 753-1286
Organization SubpartNo
Authorized OfficialKevin L BradleyExecutive Director · (508) 831-0100
Enumeration DateAugust 4, 2014
Last NPPES UpdateJune 20, 2018
✔ NPI 1568871663 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.
274 LINCOLN ST, Worcester, MA 01605
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Other Names 1

Other NameGenesis Club, Inc.

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 Club House, Inc.'s NPI number?

The NPI number for Genesis Club House, Inc. is 1568871663. It was assigned to this organization in the NPPES registry on August 4, 2014. The provider is also known as Genesis Club, Inc..

Where is Genesis Club House, Inc. located?

Genesis Club House, Inc. is located at 274 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 831-0100.

What is Genesis Club House, Inc.'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 Club House, Inc. was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.