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Genesis Corporation

Genesis Corporation is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Hayward, CA, holding Type 2 (organization) NPI 1679569115 since 2005. The authorized official on file is Pamela Graham, Controller.

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NPI 1679569115
Entity type Organization (Type 2)
Legal business name Genesis Corporation
Other name <Unavail>
Practice address 3336 BRIDLE DR, Hayward, CA, 94541
Phone 5105822873
Fax 5105824463
Enumeration date 2005-09-20
Last updated in NPPES 2020-08-22

Authorized official

Name Pamela Graham
Title Controller
Phone 8054899472

Taxonomy & classification

Taxonomy code Specialty Primary License State
315P00000X Intellectual Disabilities Intermediate Care Facility Primary CA

Other identifiers

Identifier Type State Issuer
LTC80260F Medicaid CA
Copy-ready billing details
Provider: Genesis Corporation
NPI: 1679569115
Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility)
Address: 3336 BRIDLE DR, Hayward, CA, 94541

Verify this record

Cross-check NPI 1679569115 against the authoritative CMS record: view Genesis Corporation 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

What type of organization is Genesis Corporation?
Genesis Corporation is registered in NPPES as a Intellectual Disabilities Intermediate Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.