Organization Active NPI

Genesis Treatment Foster Care Agency

  • Foster Care Agency
  • North Las Vegas, NV
National Provider Identifier
1457894438
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
GENESIS TREATMENT FOSTER CARE AGENCY
Practice address
3920 W Ann Rd
Suite 100
North Las Vegas, NV 89031-3839
Phone
(702) 550-6700
Fax
(702) 550-4872
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Curtis Stuckey
Title
Program Coordinator
Phone
(702) 544-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

3920 W Ann Rd
Suite 100
North Las Vegas, NV 89031-3839

Mailing address

3920 W Ann Rd
Suite 100
North Las Vegas, NV 89031-3839
Phone (702) 550-6700

National Provider Directory

National Provider Directory
Tax ID family
Genesis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1457894438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W ANN RD",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313839",
            "telephone_number": "702-550-6700",
            "fax_number": "702-550-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W ANN RD",
            "address_2": "SUITE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313839",
            "telephone_number": "702-550-6700",
            "fax_number": "702-550-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TREATMENT FOSTER CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "702-544-0763"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.