Genesis Club House, Inc.
Genesis Club House, Inc. is a healthcare organization registered as Community/Behavioral Health Agency in Worcester, MA, holding Type 2 (organization) NPI 1568871663 since 2014. The authorized official on file is Kevin Bradley, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568871663 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Club House, Inc. |
| Other name | <Unavail> |
| Practice address | 274 LINCOLN ST, Worcester, MA, 01605 |
| Phone | 5088310100 |
| Fax | 5087531286 |
| Enumeration date | 2014-08-04 |
| Last updated in NPPES | 2018-06-20 |
Authorized official
| Name | Kevin Bradley |
|---|---|
| Title | Executive Director |
| Phone | 5088310100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Genesis Club House, Inc. NPI: 1568871663 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 274 LINCOLN ST, Worcester, MA, 01605
Verify this record
Cross-check NPI 1568871663 against the authoritative CMS record: view Genesis Club House, 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
Who is the authorized official for Genesis Club House, Inc.?
What is the NPI number for Genesis Club House, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-20.