NPIMap

Organization Active NPI

New Genesis Residential Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Shelby, NC
National Provider Identifier
1871742361
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-023-144 Issued in NC
Legal business name
NEW GENESIS RESIDENTIAL SERVICES, INC.
Practice address
3020 Arnold Dr
Shelby, NC 28152-7504
Phone
(704) 482-8908
Fax
(704) 482-8908
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mr. Arnold Steven England
Title
Ceo
Phone
(704) 864-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-023-144 NC Primary

Addresses

Primary practice location

3020 Arnold Dr
Shelby, NC 28152-7504

Mailing address

224 S New Hope Rd
Gastonia, NC 28054-4873
Phone (704) 864-3600

Other names 1

  • Charlespointe Children's Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Charlespointe Children's Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1871742361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544873",
            "telephone_number": "704-864-3600",
            "fax_number": "704-864-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ARNOLD DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281527504",
            "telephone_number": "704-482-8908",
            "fax_number": "704-482-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GENESIS RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-864-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-023-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlespointe Children's Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.