Genesis Development in Jefferson - Assisted Living, Behavioral Disturbances
Genesis Development - NPI 1003887639
Genesis Development is a Assisted Living, Behavioral Disturbances in Jefferson, Iowa. Genesis Development practices all healthcare services and medical treatments related to Assisted Living, Behavioral Disturbances. The NPI Number for Genesis Development is 1003887639. The last update date is 2010-05-05.
Genesis Development's current location address is Po Box 438, Jefferson, Iowa. You can contact this provider via phone number 5153863017 and fax number 5153864642. The mailing address for Genesis Development is Po Box 438, Jefferson, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Development |
|---|---|
| Address | Po Box 438, Jefferson, Iowa |
| Phone Number | 5153863017 |
| Fax Number | 5153864642 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Johnson Terry |
| Telephone Number | 5153863017 |
NPI Number Detail
| NPI Number | 1003887639 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2010-05-05 |
Provider Mailing Address Detail
| Address | Po Box 438 |
|---|---|
| City | Jefferson |
| State | Iowa (IA) |
| Post Code | 501290438 |
| Phone Number | 5153863017 |
| Fax Number | 5153864642 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Behavioral Disturbances |
|---|---|
| Taxonomy | 3104A0630X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 465401 | IA | -- | |
| 465419 | IA | -- | |
| 1232363 | IA | -- | |
| 280529 | IA | -- | |
| 465435 | IA | -- | |
| 428656 | IA | -- | |
| 465393 | IA | -- | |
| 243121 | IA | -- | |
| 465534 | IA | -- | |
| 110726 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Genesis Development by the Centers for Medicare & Medicaid Services?
The Genesis Development has been issued the NPI (National Provider Identifier) 1003887639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Genesis Development's physical address?
The Genesis Development is physically located at Po Box 438, in the city of Jefferson, IA, with the postal code 501290438.
What is Genesis Development's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Genesis Development is Assisted Living, Behavioral Disturbances, and the taxonomy code that classifies this field of practice is 3104A0630X.
When did Genesis Development receive its 1003887639 assignment?
The Genesis Development was assigned its 1003887639 on 2006-01-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Genesis Development most recently updated or revised?
The information pertaining to Genesis Development, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-05.
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