Genesis Two

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GENESIS TWO

Practice address

909 Roxy St
Raleigh, NC 27610-5664

Phone

(919) 829-9235

NPI assigned

Dec 20, 2009

Last updated

Dec 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mike T Williams, ED.S

Title

Director

Phone

(919) 829-9235

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1261267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261267200000",
    "number": "1639408768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ROXY ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105664",
            "telephone_number": "919-829-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ROXY ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105664",
            "telephone_number": "919-829-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-829-9235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Scott Gemmill, D.O.
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• Eddie Vacentae General II
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• Genesis Health Services
• Genesisdwiservices
• Krista Lee Gengo Gajeski, M.A., BCBA, LBA
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Kevin Matthew Gentile, PA-C

• Case Management Agency in Raleigh, NC
• Providers in Raleigh, 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 Dec 20, 2009; 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.