GENESIS MANOR, LLC
NPI 1972875318
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lynchburg, VA

Active since February 01, 2012
1560 KNOTT ST, LYNCHBURG, VA 24502(434) 237-2044(434) 237-2055 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Manor, Llc NPPES

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

GENESIS MANOR, LLC (NPI 1972875318) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lynchburg, Virginia and active in the NPI registry since February 2012. The organization lists Christina Smith Jackson, Records Manager/coowner, as its authorized official.

NPPES Registry Identity

NPI1972875318
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGENESIS MANOR, LLC
Location Address1560 KNOTT STLynchburg, VA 24502-5107
Mailing Address1560 Knott StLynchburg, VA 24502-5107 · (434) 237-2044
Fax(434) 237-2055
Organization SubpartNo
Authorized OfficialChristina Smith JacksonRecords Manager/coowner · (434) 610-6132
Enumeration DateFebruary 1, 2012
NPI 1972875318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in VA · 1751
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1560 KNOTT ST, Lynchburg, VA 24502

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 Manor, LLC's NPI number?

The NPI number for Genesis Manor, LLC is 1972875318. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Genesis Manor, LLC located?

Genesis Manor, LLC is located at 1560 Knott St, Lynchburg, VA 24502. The listed phone number is (434) 237-2044.

What is Genesis Manor, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Genesis Manor, LLC was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.