Provider Demographics
NPI:1851005557
Name:NEW GENESIS HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:NEW GENESIS HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGES WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NTEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-938-3750
Mailing Address - Street 1:1155 RIPLEY ST APT 715
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-7456
Mailing Address - Country:US
Mailing Address - Phone:301-938-3750
Mailing Address - Fax:
Practice Address - Street 1:640 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3565
Practice Address - Country:US
Practice Address - Phone:301-938-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder