OrganizationActive
Genesis Club House, Inc.
NPI 1568871663 · Community/Behavioral Health Agency · Worcester, MA
Genesis Club House, Inc. is a Community/Behavioral Health Agency organization in Worcester, MA (NPI 1568871663).
Provider details
- NPI number
- 1568871663
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kevin Bradley, Executive Director(508) 831-0100
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
274 Lincoln St
Worcester, MA 01605-2106
Phone: (508) 831-0100
Fax: (508) 753-1286
Street-level locationGet directions
Mailing address
274 Lincoln St
Worcester, MA 01605-2106
Other names (DBA / former)
- Other name
- Genesis Club, Inc.
Registry dates
- Enumerated
- 2014-08-04
- Last updated
- 2018-06-20
Frequently asked questions
- What is Genesis Club House, Inc.'s NPI number?
- Genesis Club House, Inc.'s National Provider Identifier (NPI) is 1568871663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Club House, Inc.?
- Genesis Club House, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Genesis Club House, Inc. located?
- Genesis Club House, Inc.'s practice location on file with NPPES is 274 Lincoln St, Worcester, MA 01605-2106.
- What is Genesis Club House, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Genesis Club House, Inc. is (508) 831-0100.
- Who is the authorized official for Genesis Club House, Inc.?
- The authorized official listed on Genesis Club House, Inc.'s NPPES record is Kevin Bradley, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Club House, Inc.'s NPI active?
- Yes — Genesis Club House, Inc.'s NPI (1568871663) is active in the NPPES registry as of the last update on 2018-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.