GENESIS DEVELOPMENT – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1003887639

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

GENESIS DEVELOPMENT is a healthcare provider. based in Jefferson, Iowa. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for GENESIS DEVELOPMENT is 1003887639

Main info

Organization
Name
GENESIS DEVELOPMENT
NPI
1003887639
Phone
(515) 386-3017
Address
PO BOX 438
Authorized Official
MR. TERRY JOHNSON CEO
Enumeration Date
31 January 2006
Last Update Date
5 May 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GENESIS DEVELOPMENT

  • 438, N Bicycle Path, Port Jefferson Station, Suffolk County, New York, 11776, United States

    JEFFERSON, IA 501290438

    Phone: (515) 386-3017

    Fax: (515) 386-4642

    Type: Mailing

  • 401, West McKinley Street, Jefferson, Greene County, Iowa, 50129, United States

    JEFFERSON, IA 501291421

    Phone: (515) 386-3017

    Fax: (515) 386-4642

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50129)

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Reviews

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Frequently asked questions

Is GENESIS DEVELOPMENT listed with a National Provider Identifier?
Yes — GENESIS DEVELOPMENT has NPI 1003887639 on file in the registry.
Active or inactive — what applies to GENESIS DEVELOPMENT?
You should see GENESIS DEVELOPMENT as active in CMS-hosted NPPES data.
What area of care is associated with GENESIS DEVELOPMENT?
GENESIS DEVELOPMENT's record emphasizes Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GENESIS DEVELOPMENT?
Travel planning: use Jefferson, Iowa as the reference point for GENESIS DEVELOPMENT, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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