NPIMap

Organization Active NPI

Genesis Adult Activity Center

  • Adult Day Care Clinic/Center
  • Stafford, TX
National Provider Identifier
1982326898
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GENESIS ADULT ACTIVITY CENTER
Doing business as
Genesis Adult Activity Center
Practice address
930 Murphy Rd Ste B
Stafford, TX 77477-5976
Phone
(183) 236-8305
Fax
(281) 969-7776
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Pamela Cortez WashingtonNPI 1497355028
Title
Owner/ Director
Phone
(832) 368-3057

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

930 Murphy Rd Ste B
Stafford, TX 77477-5976

Mailing address

930 Murphy Rd Ste B
Stafford, TX 77477-5976
Phone (832) 368-3057

Other names 1

  • Genesis Adult Activity Center Doing business as

National Provider Directory

National Provider Directory

Locations

930 Murphy Rd
Ste B
Stafford, TX 77477

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1982326898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MURPHY RD STE B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775976",
            "telephone_number": "832-368-3057",
            "fax_number": "281-969-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MURPHY RD STE B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775976",
            "telephone_number": "183-236-8305",
            "fax_number": "281-969-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ADULT ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "CORTEZ",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "832-368-3057"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Adult Activity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.