GENESIS DEVELOPMENT
NPI 1003887639
Day Training, Developmentally Disabled Services in Jefferson,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

Po Box 438
Jefferson,
Post Code: 50129
Phone: (515) 386-3017
Fax: (515) 386-4642

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Genesis Development in Jefferson - Day Training, Developmentally Disabled Services

Genesis Development is a Day Training, Developmentally Disabled Services in Jefferson, . Genesis Development practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Genesis Development is 1003887639. The last update date is 2010-05-05.

Genesis Development's current location address is Po Box 438, Jefferson, . You can contact this provider via phone number (515) 386-3017 and fax number (515) 386-4642. The mailing address for Genesis Development is Po Box 438, Jefferson, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003887639
Provider Legal Name
GENESIS DEVELOPMENT
Other Organization Name
GENESIS DEVELOPMENT
Other Name Type
-
Entity Type
Organization
Location Address
Po Box 438, Jefferson,
Location Phone
(515) 386-3017
Location Fax
(515) 386-4642
Mailing Address
401 W Mckinley St, Jefferson, Iowa(IA)
Mailing Phone
515-386-3017
Mailing Fax
515-386-4642
Enumeration Date
2006-01-31
Last Update Date
2010-05-05
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 251C00000X -

Day Training, Developmentally Disabled Services

()
2 320600000X -

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

()
3 320800000X -

Community Based Residential Treatment Facility, Mental Illness

()
4 311ZA0620X -

Custodial Care Facility, Adult Care Home

()
5 3104A0630X -

Assisted Living Facility, Assisted Living, Behavioral Disturbances

()
6 3104A0625X -

Assisted Living Facility, Assisted Living, Mental Illness

()
7 251S00000X -

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0110726 MEDICAID (05) Iowa (IA)
0232363 MEDICAID (05) Iowa (IA)
0243121 MEDICAID (05) Iowa (IA)
0245811 MEDICAID (05) Iowa (IA)
0245829 MEDICAID (05) Iowa (IA)
0280529 MEDICAID (05) Iowa (IA)
0290353 MEDICAID (05) Iowa (IA)
0428656 MEDICAID (05) Iowa (IA)
0465393 MEDICAID (05) Iowa (IA)
0465401 MEDICAID (05) Iowa (IA)
0465419 MEDICAID (05) Iowa (IA)
0465435 MEDICAID (05) Iowa (IA)
0465534 MEDICAID (05) Iowa (IA)
0890007 MEDICAID (05) Iowa (IA)
0894865 MEDICAID (05) Iowa (IA)
1232363 MEDICAID (05) Iowa (IA)
1245811 MEDICAID (05) Iowa (IA)
15-08-003 Other (non-Medicare) (01) Iowa (IA) Non POS Agreement Number

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003887639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031681466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031681466
2 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 4 + 6 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1003887639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819624 FELIPE COSCOLLUELA JAVIER
Individual
Allergy & Immunology 2710 SAINT FRANCIS DR STE 411
WATERLOO, Iowa (IA)
319-272-5000
1003810649 OWEN M MCCARRON
Individual
Obstetrics & Gynecology 855 A AVE NE
CEDAR RAPIDS, Iowa (IA)
319-221-8400
1003811456 PRESBYTERIAN VILLAGE
Organization
Nursing Facility/Intermediate Care Facility 502 BUTLER ST
ACKLEY, Iowa (IA)
641-847-3531
1003812017 STEPHEN T BENDER
Individual
Dentist, General Practice 1513 MALL DR
IOWA CITY, Iowa (IA)
319-354-1409
1003812827 KEVIN MICHAEL GABBERT
Individual
Social Worker, Clinical 300 W HUTCHINGS ST
WINTERSET, Iowa (IA)
515-462-3105