Genesis Development
Genesis Development is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, IA, holding Type 2 (organization) NPI 1003887639 since 2006. The authorized official on file is Terry Johnson, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003887639 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Development |
| Practice address | 401 W MCKINLEY ST, Jefferson, IA, 50129 |
| Phone | 5153863017 |
| Fax | 5153864642 |
| Enumeration date | 2006-01-31 |
| Last updated in NPPES | 2010-05-05 |
Authorized official
| Name | Terry Johnson |
|---|---|
| Title | Ceo |
| Phone | 5153863017 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Secondary | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Secondary | — | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Secondary | — | — |
| 311ZA0620X | Adult Care Home Facility | Secondary | — | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | Secondary | — | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465401 | Medicaid | IA | — |
| 0465419 | Medicaid | IA | — |
| 1232363 | Medicaid | IA | — |
| 0280529 | Medicaid | IA | — |
| 0465435 | Medicaid | IA | — |
| 0428656 | Medicaid | IA | — |
| 0465393 | Medicaid | IA | — |
| 0243121 | Medicaid | IA | — |
| 0465534 | Medicaid | IA | — |
| 0110726 | Medicaid | IA | — |
| 0232363 | Medicaid | IA | — |
| 0245829 | Medicaid | IA | — |
| 0890007 | Medicaid | IA | — |
| 15-08-003 | Other | IA | NON POS AGREEMENT NUMBER |
| 0245811 | Medicaid | IA | — |
| 0894865 | Medicaid | IA | — |
| 1245811 | Medicaid | IA | — |
| 0290353 | Medicaid | IA | — |
Copy-ready billing details
Provider: Genesis Development NPI: 1003887639 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 401 W MCKINLEY ST, Jefferson, IA, 50129
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942327283 | Genesis Development | Organization | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Jefferson, IA |
Verify this record
Cross-check NPI 1003887639 against the authoritative CMS record: view Genesis Development on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Genesis Development?
What is the NPI number for Genesis Development?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2010-05-05.