Genext Life LLC
NPI 1295513299 · Mental Illness Community Based Residential Treatment Facility · Charlotte, NC
Genext Life LLC is a Mental Illness Community Based Residential Treatment Facility organization in Charlotte, NC (NPI 1295513299).
Provider details
- NPI number
- 1295513299
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ecaroh Jackson, Managing Member(404) 642-4493
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 113 Vaquaro DrMooresville, NC 28115-0236Phone: (980) 705-1190
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Genext Life LLC's NPI number?
- Genext Life LLC's National Provider Identifier (NPI) is 1295513299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genext Life LLC?
- Genext Life LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Genext Life LLC located?
- Genext Life LLC's practice location on file with NPPES is 225 Sandy Ave, Charlotte, NC 28213-5659.
- What is Genext Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Genext Life LLC is (980) 705-1190.
- Who is the authorized official for Genext Life LLC?
- The authorized official listed on Genext Life LLC's NPPES record is Ecaroh Jackson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genext Life LLC's NPI active?
- Yes — Genext Life LLC's NPI (1295513299) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.