Genesishouse, Inc.
Genesishouse, Inc. is a healthcare organization registered as Case Management Agency in Gastonia, NC, holding Type 2 (organization) NPI 1093727893 since 2006. The authorized official on file is Kelvin Hall, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093727893 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesishouse, Inc. |
| Practice address | 549 COX RD, SUITE A, Gastonia, NC, 28054 |
| Phone | 7048523778 |
| Fax | 7048538751 |
| Enumeration date | 2006-08-12 |
| Last updated in NPPES | 2011-06-29 |
Authorized official
| Name | Kelvin Hall |
|---|---|
| Title | President |
| Phone | 7048523778 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TP0016X | Prescribing (Medical) Psychologist | Secondary | 9401389 | NC |
| 251B00000X | Case Management Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300892 | Medicaid | NC | — |
| 8300892B | Medicaid | NC | — |
| 3418147 | Medicaid | NC | — |
| 6102216 | Medicaid | NC | — |
| 8303041R | Medicaid | NC | — |
| 8303041 | Medicaid | NC | — |
| 8300892V | Medicaid | NC | — |
| 8300892G | Medicaid | NC | — |
Copy-ready billing details
Provider: Genesishouse, Inc. NPI: 1093727893 Taxonomy: 251B00000X (Case Management Agency) Address: 549 COX RD, SUITE A, Gastonia, NC, 28054
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326132804 | Olatokunbo Soyode-Etomi | Individual | Community/Behavioral Health Agency | Gastonia, NC |
| 1184796237 | Lyssa Israel | Individual | Clinical Psychologist | Gastonia, NC |
| 1841477205 | Mcleod Centers for Wellbeing | Organization | Community/Behavioral Health Agency | Gastonia, NC |
| 1497087985 | Alexandra Dean | Individual | Professional Counselor | Gastonia, NC |
| 1396065033 | Tiffany Cook | Individual | Addiction (Substance Use Disorder) Counselor | Gastonia, NC |
| 1487958716 | Genesis House, Inc. | Organization | Case Management Agency | Gastonia, NC |
| 1841576287 | Shelley Alicea | Individual | Addiction (Substance Use Disorder) Counselor | Gastonia, NC |
| 1487999462 | Lindsay Green | Individual | Addiction (Substance Use Disorder) Counselor | Gastonia, NC |
Verify this record
Cross-check NPI 1093727893 against the authoritative CMS record: view Genesishouse, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Genesishouse, Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-06-29.