OrganizationActive
Genesis House, Inc
NPI 1518124783 · Public Health or Welfare Agency · Bloomsburg, PA
Provider details
- NPI number
- 1518124783
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Parent organization
- Genesis House, Inc.
- Organization subpart
- Yes
- Authorized official
- Shakeena Lee, Executive Director(570) 322-0520
- License
- 197052 (PA)
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
823 Central Road
Bloomsburg, PA 17815
Phone: (570) 322-0520
Fax: (570) 326-9674
Street-level locationGet directions
Mailing address
800 West 4th Street
Williamsport, PA 17701-7201
Registry dates
- Enumerated
- 2008-05-16
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.