NPIMap

Organization Active NPI

Genesis Living

  • Mental Illness Community Based Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1508437997
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GENESIS LIVING
Practice address
41804 W Carlisle LN
Maricopa, AZ 85138-3263
Phone
(651) 955-6535
NPI assigned
Jul 7, 2021
Organization subpart
Yes
Parent organization
GENESIS LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Rita AghentaNPI 1245620665
Title
Administrator
Phone
(651) 955-6535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

41804 W Carlisle LN
Maricopa, AZ 85138-3263

Mailing address

1027 W Calypso CT
Gilbert, AZ 85233-6769
Phone (651) 955-6535

National Provider Directory

National Provider Directory
Tax ID family
Genesis Living2 organizations share this tax ID, including this one
Part of
Genesis Living

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1508437997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 W CALYPSO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336769",
            "telephone_number": "651-955-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41804 W CARLISLE LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851383263",
            "telephone_number": "651-955-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS LIVING",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "AGHENTA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-955-6535"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.