Genesis 1 the House of Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

130301001 Issued in VA

Legal business name

GENESIS 1 THE HOUSE OF CARE

Practice address

314 Washington Ave
Franklin, VA 23851-1553

Phone

(757) 562-5505

Fax

(757) 562-5500

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Alesia Anita Rawls

Title

Chief Executive

Phone

(757) 477-6882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1760811509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WASHINGTON AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511553",
            "telephone_number": "757-562-5505",
            "fax_number": "757-562-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WASHINGTON AVE",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511553",
            "telephone_number": "757-562-5505",
            "fax_number": "757-562-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS 1 THE HOUSE OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "ALESIA",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "757-477-6882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "130301001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Franklin, VA
• Providers in Franklin, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.