Genesis and Light Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GENESIS AND LIGHT CENTER

Practice address

4914 N State St
Jackson, MS 39206-4046

Phone

(601) 362-6736

Fax

(601) 362-6737

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Albert Wilson

Title

Executive Director

Phone

(601) 362-6736

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1457768814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064046",
            "telephone_number": "601-362-6736",
            "fax_number": "601-362-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064046",
            "telephone_number": "601-362-6736",
            "fax_number": "601-362-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AND LIGHT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-362-6736"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MS",
            "license": "25C4PAS-5598",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Gee
• Laurin Geheber, AU.D.
• William Bennett Geissler, M.D.
• Generational Health of Mississippi
• Generations Neuropsychology, LLC
• Genesis Hospice Care, LLC
• Genesis Physical Therapy
• Genesis Transportation Services LLC
• Genoa Healthcare LLC
• Gentle Hands& Warm Hearts LLC

• Adult Day Care Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.