Genesis Development, NPI 1003887639
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1003887639
NPI Entity Type Organization
Provider Name Genesis Development
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 401 W Mckinley St, Jefferson, IA, US
Provider Mailing Address Po Box 438, Jefferson, IA, US, 501290438
Is Sole Proprietor? No
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Organization Official

Official Name MR. Terry Johnson
Official Position CEO
Phone 515-386-3017

Primary Taxonomy

Taxonomy Code

320900000X

Taxonomy Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification

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

Group

Residential Treatment Facilities

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

Business Address

Genesis Development
401 W Mckinley St

Jefferson, IA, US

Phone: 515-386-3017
Fax: 515-386-4642

Mailing Address

Genesis Development
Po Box 438
Jefferson, IA, US
ZIP 501290438
Phone: 515-386-3017
Fax: 515-386-4642

Secondary Taxonomies

Other Identifiers

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

Other Providers in IA, US

NPI Name Taxonomy Address

1023779097

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DR. PSYD Sheila Mccrea

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M.D. Derek Lincoln Breder

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Bayli Triggs

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Stacy Jo Ann Watts

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DR. M.D. Austin Jedidiah Ramme

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Forefront Dermatology, S.c.

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PA-C Lisa Wells

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LISW Travis Underwood

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1891704219

LISW Eva Ford

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1023625142

DR. MD Moon Ley Tung

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200 Hawkins Dr

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1699195818

DR. DO Maggie Diane Seblani

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Pediatric Hematology & Oncology Physician

200 Hawkins Dr

Iowa City, IA

1114534237

DR. MD Bharatendu Chandra

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Clinical Molecular Genetics Physician

200 Hawkins Dr

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1619521465

PHD Kimberly Chantelle Diah

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Clinical Neuropsychologist

200 Hawkins Dr

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1922332808

Lewis Township Fire And Rescue Department

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19770 Cypress Ave

Council Bluffs, IA

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M.D. Nicole Margo Grogan Fleege

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200 Hawkins Dr

Department Of Internal Medicine

Iowa City, IA

1801511282

Anna Marietta Patch

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Clinical Social Worker

250 Laurel St

Des Moines, IA

1801829635

DR. M.D. Jorge H Perez-cardona

Individual

Hematology & Oncology Physician

1410 N 4th St

Clinton, IA

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