Active NPI
Genesis Community & Family Services, LLC
- Case Management Agency
- Richmond, VA
National Provider Identifier
1477944759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- S434108-9
- Legal business name
- GENESIS COMMUNITY & FAMILY SERVICES, LLC
- Practice address
- 2104 North Ave
Richmond, VA 23222-4323 - Phone
- (804) 721-8616
- NPI assigned
- Feb 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniell Lancaster, MS QMHP
- Title
- Ceo
- Phone
- (804) 721-8616
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | S434108-9 | VA | Primary |
| Community/Behavioral Health Agency | 251S00000X | S434108-9 | VA | |
| In Home Supportive Care Agency | 253Z00000X | S434108-9 | VA |
Addresses
Primary practice location
2104 North Ave
Richmond, VA 23222-4323
Mailing address
2104 North Ave
Richmond, VA 23222-4323
Phone (804) 721-8616
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423440000000",
"number": "1477944759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 NORTH AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232224323",
"telephone_number": "804-721-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 NORTH AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232224323",
"telephone_number": "804-721-8616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS COMMUNITY & FAMILY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A",
"authorized_official_last_name": "LANCASTER",
"authorized_official_first_name": "DANIELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-721-8616",
"authorized_official_credential": "MS QMHP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "S434108-9",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "S434108-9",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "VA",
"license": "S434108-9",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.