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GENESIS DEVELOPMENTAL SERVICES
NPI 1942296488
Intermediate Care Facility, Intellectual Disabilities in San Leandro, CA

Active since September 20, 2005
2225 BARROW ST, SAN LEANDRO, CA 94577(510) 352-8537(510) 352-8241 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Developmental Services NPPES

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

GENESIS DEVELOPMENTAL SERVICES (NPI 1942296488) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in San Leandro, California and active in the NPI registry since September 2005. The organization lists Pamela Graham, Controller, as its authorized official.

NPPES Registry Identity

NPI1942296488
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameGENESIS CORPORATION
Location Address2225 BARROW STSan Leandro, CA 94577-3217
Mailing AddressPo Box 626Pismo Beach, CA 93448-0626 · (805) 489-9472 · Fax (805) 474-6893
Phone(510) 352-8537
Fax(510) 352-8241
Organization SubpartNo
Authorized OfficialPamela GrahamController · (805) 489-9472
Enumeration DateSeptember 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942296488 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.
2225 BARROW ST, San Leandro, CA 94577
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Other Names 1

Doing Business AsGenesis Developmental Services

Other Identifiers 1

MedicaidLTC80253FCA

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 1942296488. 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 2225 Barrow St, San Leandro, CA 94577. The listed phone number is (510) 352-8537.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.