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

Q: What is Genesis Development's NPI number?

The NPI number for Genesis Development is 1003887639. It was assigned to this organization in the NPPES registry on January 31, 2006.

Q: What is Genesis Development's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since January 31, 2006

401 W MCKINLEY ST, JEFFERSON, IA 50129(515) 386-3017(515) 386-4642 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Genesis Development NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS DEVELOPMENT (NPI 1003887639) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jefferson, Iowa and active in the NPI registry since January 2006. The organization lists Terry Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003887639

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameGENESIS DEVELOPMENT

Location Address401 W MCKINLEY STJefferson, IA 50129-1421

Mailing AddressPo Box 438Jefferson, IA 50129-0438 · (515) 386-3017 · Fax (515) 386-4642

Phone(515) 386-3017

Fax(515) 386-4642

Organization SubpartNo

Authorized OfficialTerry JohnsonCeo · (515) 386-3017

Enumeration DateJanuary 31, 2006

Last NPPES UpdateMay 5, 2010

✔ NPI 1003887639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

401 W MCKINLEY ST, Jefferson, IA 50129

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Other Identifiers 18

Medicaid0465534IA

Medicaid0110726IA

Medicaid0245811IA

Medicaid0428656IA

Medicaid0465401IA

Medicaid0890007IA

Medicaid1245811IA

Medicaid0290353IA

Medicaid0232363IA

Medicaid0894865IA

Other15-08-003IA · Non Pos Agreement Number

Medicaid0243121IA

Medicaid0465419IA

Medicaid1232363IA

Medicaid0245829IA

Medicaid0465393IA

Medicaid0280529IA

Medicaid0465435IA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS DEVELOPMENT

Community/Behavioral Health

401 W MCKINLEY ST
JEFFERSON, IA 50129

Greene County (515) 386-3017

GENESIS DEVELOPMENT

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

401 W MCKINLEY ST
JEFFERSON, IA 50129

Greene County (515) 386-3017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Development's NPI number?

The NPI number for Genesis Development is 1003887639. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Genesis Development located?

Genesis Development is located at 401 W Mckinley St, Jefferson, IA 50129. The listed phone number is (515) 386-3017.

What is Genesis Development's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Genesis Development was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.