Genesis Revitalization Group
Day Training/Habilitation Specialist in Atlantic City, New Jersey
1366308231- Practice location
- 16 S Rhode Island Ave Fl 2, Atlantic City, NJ 08401-7759
- Phone
- 609-335-7373
- Fax
- —
- Last updated
- June 30, 2026
Genesis Revitalization Group is a healthcare organization based in Atlantic City, NJ. Genesis Revitalization Group practices in Atlantic City, NJ. The NPI Number for Genesis Revitalization Group is 1366308231. The current practice location address for Genesis Revitalization Group is 16 S Rhode Island Ave Fl 2, Atlantic City, NJ 08401-7759 and can be reached out via phone at 609-335-7373.
Provider Profile Details
- NPI Number
- 1366308231
- Provider Name
- Genesis Revitalization Group
- Provider Entity Type
- Organization
- Address
- 16 S Rhode Island Ave Fl 2, Atlantic City, NJ 08401-7759
- Phone Number
- 609-335-7373
- Primary Taxonomy
- Day Training/Habilitation Specialist · 373H00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Frank Mccoy Gilliam, PHD · Reginal Administrator · 609-892-7681
- Provider Enumeration Date
- January 5, 2026
- Last Update Date
- June 30, 2026
- Certification Date
- June 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 S Rhode Island Ave Fl 2
Atlantic City, NJ 08401-7759 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-7759
- Phone Number
- 609-335-7373
Provider Business Mailing Address Details
- Address
- 16 S Rhode Island Ave Fl 2
Atlantic City, NJ 08401-7759 - City
- Atlantic City
- State
- NJ
- Zip
- 08401-7759
- Phone Number
- 609-335-7373
License Information
- Taxonomy
- Day Training/Habilitation Specialist · 373H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Genesis Revitalization Group?
The NPI number of Genesis Revitalization Group is 1366308231. It was assigned on January 5, 2026 and is currently active in the NPPES registry.
What is the specialty of Genesis Revitalization Group?
Genesis Revitalization Group is registered under the primary taxonomy Day Training/Habilitation Specialist (code 373H00000X).
Where does Genesis Revitalization Group practice?
The practice location is 16 S Rhode Island Ave Fl 2, Atlantic City, NJ 08401-7759. The office can be reached at 609-335-7373 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366308231 directly on the NPPES registry website.