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GENESIS DEVELOPMENTAL SERVICES
NPI 1750377297
Intermediate Care Facility, Intellectual Disabilities in Hayward, CA

Active since September 20, 2005
21860 MAIN ST, HAYWARD, CA 94541(510) 727-1518(510) 727-9927 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Developmental Services NPPES

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

GENESIS DEVELOPMENTAL SERVICES (NPI 1750377297) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Hayward, California and active in the NPI registry since September 2005. The organization lists Pamela Graham, Controller, as its authorized official.

NPPES Registry Identity

NPI1750377297
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGENESIS CORPORATION
Location Address21860 MAIN STHayward, CA 94541-2614
Mailing AddressPo Box 626Pismo Beach, CA 93448-0626 · (805) 489-9472 · Fax (805) 474-6893
Phone(510) 727-1518
Fax(510) 727-9927
Organization SubpartNo
Authorized OfficialPamela GrahamController · (805) 489-9472
Enumeration DateSeptember 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750377297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

21860 MAIN ST, Hayward, CA 94541
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Other Names 1

Doing Business AsGenesis Developmental Services

Other Identifiers 1

MedicaidLTC80220FCA

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 Corporation's NPI number?

The NPI number for Genesis Corporation is 1750377297. It was assigned to this organization in the NPPES registry on September 20, 2005. The provider is doing business as Genesis Developmental Services.

Where is Genesis Corporation located?

Genesis Corporation is located at 21860 Main St, Hayward, CA 94541. The listed phone number is (510) 727-1518.

What is Genesis Corporation's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Genesis Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.