GENESIS FAMILY HOME
NPI 1649495243
Residential Treatment Facility, Emotionally Disturbed Children in Concord, NC

Q: What is Genesis Family Home's NPI number?

The NPI number for Genesis Family Home is 1649495243. It was assigned to this organization in the NPPES registry on April 17, 2007.

Q: 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.

Active since April 17, 2007

514 TODD DR NE, CONCORD, NC 28025(704) 793-9593 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Genesis Family Home NPPES

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

GENESIS FAMILY HOME (NPI 1649495243) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Concord, North Carolina and active in the NPI registry since April 2007. The organization lists John Kennedy Edmond, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649495243

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameGENESIS FAMILY HOME

Location Address514 TODD DR NEConcord, NC 28025-3135

Mailing Address1036 Branchview Dr, Suite 201Concord, NC 28025-2998 · (704) 793-9593

Phone(704) 793-9593

Organization SubpartNo

Authorized OfficialJohn Kennedy EdmondExecutive Director · (704) 793-9593

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 30, 2008

✔ NPI 1649495243 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

License✔ Licensed in NC · MHL-013-060

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.

514 TODD DR NE, Concord, NC 28025

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Other Identifiers 1

Medicaid6603176NC

Other Providers at the Same Location NPPES

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

RHA HEALTH SERVICES NC, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

514 TODD DR NE
CONCORD, NC 28025

Cabarrus County (704) 938-4250

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 1649495243. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Genesis Family Home located?

Genesis Family Home is located at 514 Todd Dr NE, 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 July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.