Genesis Dtc, LLC
Genesis Dtc, LLC is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in Genoa, IL, holding Type 2 (organization) NPI 1942686258 since 2015. The authorized official on file is Desiree Johnson, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942686258 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Genesis Dtc, LLC |
| Practice address | 350 SYCAMORE RD, Genoa, IL, 60135 |
| Phone | 8157845146 |
| Fax | 8157844673 |
| Enumeration date | 2015-08-10 |
| Last updated in NPPES | 2015-08-10 |
Authorized official
| Name | Desiree Johnson |
|---|---|
| Title | Executive Director |
| Phone | 8157845146 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Primary | — | — |
Copy-ready billing details
Provider: Genesis Dtc, LLC NPI: 1942686258 Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency) Address: 350 SYCAMORE RD, Genoa, IL, 60135
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871631283 | Genesis Enterprises Inc | Organization | Intellectual Disabilities Intermediate Care Facility | Genoa, IL |
| 1154450773 | Avancer | Organization | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Genoa, IL |
| 1487045761 | Avancer Homes, LLC | Organization | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Genoa, IL |
Verify this record
Cross-check NPI 1942686258 against the authoritative CMS record: view Genesis Dtc, LLC 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 is the NPI number for Genesis Dtc, LLC?
Who is the authorized official for Genesis Dtc, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-08-10.