Healthcare Provider Details

I. General information

NPI: 1851258180
Provider Name (Legal Business Name): GENIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 WOODLAWN HTS
CHATHAM VA
24531-3407
US

IV. Provider business mailing address

6200 VALENCIA LN UNIT 6080
COLUMBIA MD
21044-5066
US

V. Phone/Fax

Practice location:
  • Phone: 202-321-9033
  • Fax:
Mailing address:
  • Phone: 202-321-9033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: BISMARK WILLIAMS
Title or Position: OWNER
Credential:
Phone: 202-321-9033