Organization
GENESIS LIVING
Active
Organization
GENESIS LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA AGHENTA (ADMINISTRATOR)
(651) 955-6535
Entity
Organization
Contact information
Practice address
2839 E COURTNEY ST, GILBERT, AZ 85298-5735
(651) 955-6535
Mailing address
2839 E COURTNEY ST, GILBERT, AZ 85298-5735
(651) 955-6535
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
BH5499
AZ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
06/28/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up