OrganizationActive
Genesis Club House, Inc.
NPI 1568871663 · Community/Behavioral Health Agency · Worcester, MA
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(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.