GENESIS DTC, LLC
NPI 1942686258
Day Training, Developmentally Disabled Services in Genoa, IL

Active since August 10, 2015
350 SYCAMORE RD, GENOA, IL 60135(815) 784-5146(815) 784-4673 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Dtc, Llc NPPES

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

GENESIS DTC, LLC (NPI 1942686258) is a healthcare organization registered as a day training, developmentally disabled services in Genoa, Illinois and active in the NPI registry since August 2015. The organization lists Desiree A Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942686258
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameGENESIS DTC, LLC
Location Address350 SYCAMORE RDGenoa, IL 60135-1361
Mailing Address350 Sycamore RdGenoa, IL 60135-1361 · (815) 784-5146 · Fax (815) 784-4673
Fax(815) 784-4673
Organization SubpartNo
Authorized OfficialDesiree A JohnsonExecutive Director · (815) 784-5146
Enumeration DateAugust 10, 2015
NPI 1942686258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
350 SYCAMORE RD, Genoa, IL 60135

Other Providers at the Same Location NPPES 3

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
350 SYCAMORE RD
GENOA, IL 60135
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
350 SYCAMORE RD
GENOA, IL 60135
Intermediate Care Facility, Intellectual Disabilities
350 SYCAMORE RD
GENOA, IL 60135

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 Dtc, LLC's NPI number?

The NPI number for Genesis Dtc, LLC is 1942686258. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Genesis Dtc, LLC located?

Genesis Dtc, LLC is located at 350 Sycamore Rd, Genoa, IL 60135. The listed phone number is (815) 784-5146.

What is Genesis Dtc, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Genesis Dtc, LLC was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.