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 Developmentally Disabled Services Day Training Agency

Day Training, Developmentally Disabled Services

()
2 320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

()
3 320800000X Mental Illness Community Based Residential Treatment Facility

Community Based Residential Treatment Facility, Mental Illness

()
4 311ZA0620X Adult Care Home Facility

Custodial Care Facility, Adult Care Home

()
5 3104A0630X Assisted Living Facility (Behavioral Disturbances)

Assisted Living Facility, Assisted Living, Behavioral Disturbances

()
6 3104A0625X Assisted Living Facility (Mental Illness)

Assisted Living Facility, Assisted Living, Mental Illness

()
7 251S00000X Community/Behavioral Health Agency

()

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
1003887431 RANDALL K MINION
Individual
Family Medicine 211 AVENUE M W
FORT DODGE, Iowa (IA)
515-576-7261
1003887332 ROGER LELAND SKIERKA
Individual
Family Medicine PO BOX 665
SHELL ROCK, Iowa (IA)
319-885-6530
1003887316 CITY OF PRAIRIE CITY
Organization
Ambulance PO BOX 607
PRAIRIE CITY, Iowa (IA)
515-994-2649
1003887233 AMERICAN PROSTHETICS & ORTHOTICS, INC.
Organization
Durable Medical Equipment & Medical Supplies 1223 S GEAR AVE
WEST BURLINGTON, Iowa (IA)
319-753-2822
1003886367 ORANGE CITY MUNICIPAL HOSPITAL
ORANGE CITY AREA HEALTH SYSTEM
Organization
Registered Nurse, Wound Care 1000 LINCOLN CIR SE
ORANGE CITY, Iowa (IA)
712-737-4984