GENESIS
NPI 1801211701
Assisted Living Facility in Beckley, WV

Active since February 28, 2014CLIA 51D0235296 · Waiver
934 S FAYETTE ST, BECKLEY, WV 25801(304) 237-6771 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis NPPES

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

GENESIS (NPI 1801211701) is a healthcare organization registered as an assisted living facility in Beckley, West Virginia and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rebekah Darlene Brown, Cota, as its authorized official.

NPPES Registry Identity

NPI1801211701
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGENESIS
Location Address934 S FAYETTE STBeckley, WV 25801-6549
Mailing Address934 S Fayette StBeckley, WV 25801-6549 · (304) 237-6771
Organization SubpartNo
Authorized OfficialRebekah Darlene BrownCota · (304) 237-6771
Enumeration DateFebruary 28, 2014
NPI 1801211701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WV · C1733
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
934 S FAYETTE ST, Beckley, WV 25801

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0235296

Genesis Pine Lodge · Beckley, WV
Active · expires Aug 31, 2026
CLIA Number51D0235296
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLoria Doyle
Laboratory Phone(304) 252-6317
Laboratory LocationGenesis Pine Lodge405 Stanaford Rd, Beckley, WV 25801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
934 S FAYETTE ST
BECKLEY, WV 25801

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's NPI number?

The NPI number for Genesis is 1801211701. It was assigned to this organization in the NPPES registry on February 28, 2014.

Where is Genesis located?

Genesis is located at 934 S Fayette St, Beckley, WV 25801. The listed phone number is (304) 237-6771.

What is Genesis's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Genesis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0235296) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.