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Genesis Development

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, IA · enumerated 2007 · authorized official Terry Johnson, Ceo.

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

National Provider Identifier

1942327283

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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 Mar 23, 2007
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
253Z00000X In Home Supportive Care 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
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
0400617 Medicaid IA -
0402653 Medicaid IA -
7741769 Medicaid IA -
0741769 Medicaid IA -
0400620 Medicaid IA -
0400621 Medicaid IA -
2748996 Medicaid IA -
5741769 Medicaid IA -
1741769 Medicaid IA -
2741769 Medicaid IA -
4741769 Medicaid IA -
0400618 Medicaid IA -
0400619 Medicaid IA -
0402652 Medicaid IA -
3741769 Medicaid IA -
9741769 Medicaid IA -
0748996 Medicaid IA -
1748996 Medicaid IA -
6741769 Medicaid IA -
8741769 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

What type of organization is Genesis Development?
Genesis Development is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment 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.

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