Genesis Development

LBN: Genesis Development
Genesis Development is an health care organization with primary practice located at 401 W Mckinley St , Jefferson IA 50129-1421. The organization recently has 8 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Genesis Development can be contacted via phone (515) 386-3017, or through Johnson, Terry via phone (515) 386-3017.

Contact Information

Primary practice address
401 W Mckinley St Jefferson IA 50129-1421
Phone: (515) 386-3017
Fax: (515) 386-4642
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Terry
Phone: (515) 386-3017

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1003887639
LBN Legal business name Genesis Development
DBA Doing business as
Authorized official Johnson, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated May 5th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003887639 NPPES
Iowa MEDICAID 0465401
Iowa MEDICAID 0465419
Iowa MEDICAID 1232363
Iowa MEDICAID 0280529
Iowa MEDICAID 0465435
Iowa MEDICAID 0428656
Iowa MEDICAID 0465393
Iowa MEDICAID 0243121
Iowa MEDICAID 0465534
Iowa MEDICAID 0110726
Iowa MEDICAID 0232363
Iowa MEDICAID 0245829
Iowa MEDICAID 0890007
Iowa Other 15-08-003
Iowa MEDICAID 0245811
Iowa MEDICAID 0894865
Iowa MEDICAID 1245811
Iowa MEDICAID 0290353

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