GENESIS SUPPORT SOLUTION LLC
NPI 1205651700
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Windham, ME

NPI Status: Active since November 19, 2024

Contact Information

6 HARPERS WAY
WINDHAM, ME
ZIP 04062
Phone: (804) 665-8185

Get Directions Reviews

  • Organization
  • Community Based Residential Treatment Fa...

About GENESIS SUPPORT SOLUTION LLC

This page provides the complete NPI Profile along with additional information for Genesis Support Solution Llc, a provider established in Windham, Maine operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1205651700 assigned on November 2024. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Brandy Kibamba (Managing Member)

NPI
1205651700
Provider Name
GENESIS SUPPORT SOLUTION LLC
Entity Type
Organization
Location Address
6 HARPERS WAY WINDHAM, ME 04062
Location Phone
(804) 665-8185
Mailing Address
6 HARPERS WAY WINDHAM, ME 04062
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2024
Last Update Date
11-19-2024
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRANDY KIBAMBA

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(804) 665-8185

Reviews for GENESIS SUPPORT SOLUTION LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205651700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205125270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 2 + 5 + 2 + 7 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205651700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215793203RIGHT2HEALTH
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities6 HARPERS WAY
WINDHAM, ME 04062
(201) 702-6784

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205651700, enumerated in the NPI registry as an "organization" on November 19, 2024

The provider is located at 6 Harpers Way Windham, Me 04062 and the phone number is (804) 665-8185

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on November 19, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.