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GENESIS FAMILY HOME
NPI 1629299532
Residential Treatment Facility, Emotionally Disturbed Children in Concord, NC

Active since May 01, 2007
1036 BRANCHVIEW DR, SUITE 201, CONCORD, NC 28025(704) 793-9593 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 Family Home NPPES

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

GENESIS FAMILY HOME (NPI 1629299532) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Concord, North Carolina and active in the NPI registry since May 2007. The organization lists John Kennedy Edmond, Executive Director Owner, as its authorized official.

NPPES Registry Identity

NPI1629299532
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameGENESIS FAMILY HOME
Location Address1036 BRANCHVIEW DR, SUITE 201Concord, NC 28025-2998
Mailing Address1036 Branchview Dr, Suite 201Concord, NC 28025-2998 · (704) 793-9593
Phone(704) 793-9593
Organization SubpartNo
Authorized OfficialJohn Kennedy EdmondExecutive Director Owner · (704) 793-9593
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629299532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1036 BRANCHVIEW DR, Concord, NC 28025
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Other Providers at the Same Location NPPES 2

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

MR. JOHN KENNEDY EDMOND SR.
Counselor (Mental Health)
1036 BRANCHVIEW DR, SUITE 201
CONCORD, NC 28025
Cabarrus County (704) 793-9593
CAROLINA BEHAVIORAL MEDICINE, PA
Psychologist
1036 BRANCHVIEW DR, SUITE 201
CONCORD, NC 28025
Cabarrus County (704) 659-3541

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 Family Home's NPI number?

The NPI number for Genesis Family Home is 1629299532. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Genesis Family Home located?

Genesis Family Home is located at 1036 Branchview Dr Suite 201, Concord, NC 28025. The listed phone number is (704) 793-9593.

What is Genesis Family Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Genesis Family Home 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.