Second Genesis
LBN: Second Genesis
Second Genesis is an health care organization with primary practice located at 4017 Minnesota Ave Ne , Washington DC 20019-3541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty.
Second Genesis can be contacted via phone (202) 388-8570, or through Mcguinness, J. Michael via phone (301) 563-1545.
Contact Information
Primary practice address
4017 Minnesota Ave Ne
Washington DC 20019-3541
Phone: (202) 388-8570
Fax: (202) 388-3523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 111507A-Y-170 | District of Columbia |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 111507A-171 | District of Columbia |
Profile Details
| NPI number | 1740439603 |
|---|---|
| LBN Legal business name | Second Genesis |
| DBA Doing business as | |
| Authorized official | Mcguinness, J. Michael M.S.W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2008 |
| Last updated | Sep 16th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740439603 | NPPES |
| Maryland | MEDICAID | 1316115454 | |
| Maryland | MEDICAID | 1003084146 | |
| Maryland | MEDICAID | 1053589242 | |
| Maryland | MEDICAID | 1790766855 |
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