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Genesis Reign Support Services LLC

Community/Behavioral Health Agency in North Chesterfield, VA · enumerated 2023 · authorized official Derrick Jack, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477254894

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Reign Support Services LLC
Practice address 6406 Bareback Ter, North Chesterfield, VA, 23234
Enumeration date Mar 13, 2023
Last updated in NPPES Oct 11, 2023

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Derrick Jack
Title Owner

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.

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Frequently asked questions

What is the NPI number for Genesis Reign Support Services LLC?
The NPI for Genesis Reign Support Services LLC is 1477254894, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Genesis Reign Support Services LLC?
NPPES lists Derrick Jack (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-11.