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Genesis Development

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, IA · enumerated 2006 · authorized official Terry Johnson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003887639

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Development
Practice address 401 W Mckinley St, Jefferson, IA, 50129
Phone (515) 386-3017
Fax (515) 386-4642
Enumeration date Jan 31, 2006
Last updated in NPPES May 5, 2010

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities Secondary
3104A0630X Assisted Living Facility (Behavioral Disturbances) Nursing & Custodial Care Facilities Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Terry Johnson
Title Ceo
Phone (515) 386-3017

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 -

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.

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Frequently asked questions

Who is the authorized official for Genesis Development?
NPPES lists Terry Johnson (Ceo) as the authorized official for this organization.
What is the NPI number for Genesis Development?
The NPI for Genesis Development is 1003887639, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-05.