Organization Active NPI

The Genesis Program

  • Adult Day Care Clinic/Center
  • Akron, OH
National Provider Identifier
1639770274
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE GENESIS PROGRAM
Practice address
1104 Johnston St
Akron, OH 44305-2414
Phone
(330) 730-7099
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Seanlay Michay Carey
Title
Ceo
Phone
(330) 730-7099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

1104 Johnston St
Akron, OH 44305-2414

Mailing address

1104 Johnston St
Akron, OH 44305-2414
Phone (330) 730-7099

National Provider Directory

National Provider Directory

Locations

1104 Johnston St
Akron, OH 44305
Phone (330) 730-7099

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": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1639770274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 JOHNSTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052414",
            "telephone_number": "330-730-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JOHNSTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052414",
            "telephone_number": "330-730-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENESIS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "SEANLAY",
        "authorized_official_middle_name": "MICHAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-730-7099"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.