GENESIS COMMUNITY SUPPORT SERVICES, LLC
NPI 1912685330
Community/Behavioral Health in Greensboro, NC

Active since July 06, 2023
624 GUILFORD COLLEGE RD STE E, GREENSBORO, NC 27409(336) 382-9618 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Genesis Community Support Services, Llc NPPES

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

GENESIS COMMUNITY SUPPORT SERVICES, LLC (NPI 1912685330) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since July 2023. The organization lists Angel L Coleman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912685330
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENESIS COMMUNITY SUPPORT SERVICES, LLC
Location Address624 GUILFORD COLLEGE RD STE EGreensboro, NC 27409-2096
Mailing Address624 Guilford College Rd Ste EGreensboro, NC 27409-2096 · (336) 382-9618
Organization SubpartNo
Authorized OfficialAngel L ColemanCfo · (336) 491-9983
Enumeration DateJuly 6, 2023
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1912685330 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.
624 GUILFORD COLLEGE RD STE E, Greensboro, NC 27409

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 Community Support Services, LLC's NPI number?

The NPI number for Genesis Community Support Services, LLC is 1912685330. It was assigned to this organization in the NPPES registry on July 6, 2023.

Where is Genesis Community Support Services, LLC located?

Genesis Community Support Services, LLC is located at 624 Guilford College Rd Ste E, Greensboro, NC 27409. The listed phone number is (336) 382-9618.

What is Genesis Community Support Services, 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 Genesis Community Support Services, LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.