New Genesis Youth & Family Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEW GENESIS YOUTH & FAMILY SERVICES

Practice address

3412 Hilldale Way
Suite 23
Charlotte, NC 28226-3093

Phone

(704) 543-0023

NPI assigned

Oct 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tarshima T Downing

Title

Executive Director

Phone

(203) 535-9917

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1154572931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 HILLDALE WAY",
            "address_2": "SUITE 23",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 HILLDALE WAY",
            "address_2": "SUITE 23",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263093",
            "telephone_number": "704-543-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GENESIS YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "TARSHIMA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-535-9917"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.