1003887639 GENESIS DEVELOPMENT
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- GENESIS DEVELOPMENT
- Enumeration Date
- January 31, 2006
- Last Update
- May 5, 2010
- Authorized Official
- MR. TERRY JOHNSON
CEO
Phone: (515) 386-3017
Practice Location
- Address
- 401 W MCKINLEY ST
JEFFERSON, IA 501291421 - Phone
- (515) 386-3017
- Fax
- (515) 386-4642
Mailing Address
- Address
- PO BOX 438
JEFFERSON, IA 501290438 - Phone
- (515) 386-3017
- Fax
- (515) 386-4642
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Adult Care Home Facility Adult Care Home | 311ZA0620X | Custodial Care Facility | N/A | N/A | No |
| Assisted Living Facility (Behavioral Disturbances) Assisted Living, Behavioral Disturbances | 3104A0630X | Assisted Living Facility | N/A | N/A | No |
| Assisted Living Facility (Mental Illness) Assisted Living, Mental Illness | 3104A0625X | Assisted Living Facility | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465401 | 05 | IA | N/A |
| 0465419 | 05 | IA | N/A |
| 1232363 | 05 | IA | N/A |
| 0280529 | 05 | IA | N/A |
| 0465435 | 05 | IA | N/A |
| 0428656 | 05 | IA | N/A |
| 0465393 | 05 | IA | N/A |
| 0243121 | 05 | IA | N/A |
| 0465534 | 05 | IA | N/A |
| 0110726 | 05 | IA | N/A |
| 0232363 | 05 | IA | N/A |
| 0245829 | 05 | IA | N/A |
| 0890007 | 05 | IA | N/A |
| 15-08-003 | 01 | IA | NON POS AGREEMENT NUMBER |
| 0245811 | 05 | IA | N/A |
| 0894865 | 05 | IA | N/A |
| 1245811 | 05 | IA | N/A |
| 0290353 | 05 | IA | N/A |
Frequently Asked Questions
What is GENESIS DEVELOPMENT's NPI number?
GENESIS DEVELOPMENT's NPI number is 1003887639.
Which doctor has NPI number 1003887639?
The doctor with NPI number 1003887639 is GENESIS DEVELOPMENT.
What is GENESIS DEVELOPMENT's practice address?
GENESIS DEVELOPMENT's practice address is 401 W MCKINLEY ST, JEFFERSON, IA, 501291421.
Which doctor practices at 401 W MCKINLEY ST, JEFFERSON, IA, 501291421?
GENESIS DEVELOPMENT practices at 401 W MCKINLEY ST, JEFFERSON, IA, 501291421.
What is GENESIS DEVELOPMENT's mailing address?
GENESIS DEVELOPMENT's mailing address is PO BOX 438, JEFFERSON, IA, 501290438.
What is GENESIS DEVELOPMENT's phone number?
GENESIS DEVELOPMENT's phone number is (515) 386-3017.
Who is (515) 386-3017?
(515) 386-3017 is the phone number for GENESIS DEVELOPMENT.
What is GENESIS DEVELOPMENT's specialty?
GENESIS DEVELOPMENT's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is GENESIS DEVELOPMENT?
GENESIS DEVELOPMENT is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is GENESIS DEVELOPMENT a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, GENESIS DEVELOPMENT is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is GENESIS DEVELOPMENT still practicing?
Yes, GENESIS DEVELOPMENT is currently practicing.
Is GENESIS DEVELOPMENT accepting new patients?
GENESIS DEVELOPMENT may be accepting new patients. Please call their office at (515) 386-3017 to inquire about availability.
Is NPI 1003887639 still active?
Yes, NPI 1003887639 is currently active.
Where does GENESIS DEVELOPMENT practice?
GENESIS DEVELOPMENT practices in JEFFERSON, IA.