GENESIS DEVELOPMENT
NPI 1003887639
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jefferson, IA

NPI Status: Active since January 31, 2006

Contact Information

401 W MCKINLEY ST
JEFFERSON, IA
ZIP 50129
Phone: (515) 386-3017
Fax: (515) 386-4642

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About GENESIS DEVELOPMENT

This page provides the complete NPI Profile along with additional information for Genesis Development, a provider established in Jefferson, Iowa operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1003887639 assigned on January 2006. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Terry Johnson (Ceo)

NPI
1003887639
Provider Name
GENESIS DEVELOPMENT
Entity Type
Organization
Location Address
401 W MCKINLEY ST JEFFERSON, IA 50129
Location Phone
(515) 386-3017
Location Fax
(515) 386-4642
Mailing Address
PO BOX 438 JEFFERSON, IA 50129
Mailing Phone
(515) 386-3017
Mailing Fax
(515) 386-4642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2006
Last Update Date
05-05-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

 
2251S00000XAgencies

Community/Behavioral Health

 
33104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
43104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
5311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

 
6320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
7320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TERRY JOHNSON

Authorized Official Title
CEO
Authorized Official Phone
(515) 386-3017

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0465534MEDICAID (05)IA 
0110726MEDICAID (05)IA 
0245811MEDICAID (05)IA 
0428656MEDICAID (05)IA 
0465401MEDICAID (05)IA 
0890007MEDICAID (05)IA 
1245811MEDICAID (05)IA 
0290353MEDICAID (05)IA 
0232363MEDICAID (05)IA 
0894865MEDICAID (05)IA 
15-08-003OTHER (01)IANON POS AGREEMENT NUMBER
0243121MEDICAID (05)IA 
0465419MEDICAID (05)IA 
1232363MEDICAID (05)IA 
0245829MEDICAID (05)IA 
0465393MEDICAID (05)IA 
0280529MEDICAID (05)IA 
0465435MEDICAID (05)IA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003887639, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 4 + 6 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003887639.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
401 W MCKINLEY ST
JEFFERSON, IA 50129
Community/Behavioral Health
401 W MCKINLEY ST
JEFFERSON, IA 50129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003887639, enumerated as an "organization" on January 31, 2006.

The provider is located at 401 W MCKINLEY ST JEFFERSON, IA 50129 and the phone number is (515) 386-3017.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.