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GENESI LLC
NPI 1669767257
Community/Behavioral Health in Moore, OK

Active since June 13, 2011
626 N BROADWAY ST, MOORE, OK 73160(405) 626-1711(405) 895-7544 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesi Llc NPPES

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

GENESI LLC (NPI 1669767257) is a healthcare organization registered as a community/behavioral health in Moore, Oklahoma and active in the NPI registry since June 2011. The organization lists Rosanne Jill Nardoni Isom, Ceo/lpc, as its authorized official.

NPPES Registry Identity

NPI1669767257
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENESI LLC
Location Address626 N BROADWAY STMoore, OK 73160-4814
Mailing Address626 N Broadway StMoore, OK 73160-4814 · (405) 626-1711 · Fax (405) 895-7544
Phone(405) 626-1711
Fax(405) 895-7544
Organization SubpartNo
Authorized OfficialRosanne Jill Nardoni IsomCeo/lpc · (405) 626-2544
Enumeration DateJune 13, 2011
✔ NPI 1669767257 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.
626 N BROADWAY ST, Moore, OK 73160
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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.

IDA S KEMUNTO MAGATI
Counselor (Addiction (Substance Use Disorder))
626 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 588-7149
CONVALESCE
Community/Behavioral Health
626 N BROADWAY ST
MOORE, OK 73160
Cleveland County (405) 430-8917

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 Genesi LLC's NPI number?

The NPI number for Genesi LLC is 1669767257. It was assigned to this organization in the NPPES registry on June 13, 2011.

Where is Genesi LLC located?

Genesi LLC is located at 626 N Broadway St, Moore, OK 73160. The listed phone number is (405) 626-1711.

What is Genesi LLC'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 Genesi LLC was last updated on June 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.