Genesis Development is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson, IA. Genesis Development practices in Jefferson, IA. The NPI Number for Genesis Development is 1003887639 and holds a License No. (Iowa).
The current practice location address for Genesis Development is 401 W Mckinley St, Jefferson, IA and can be reached out via phone at 515-386-3017 and via fax at 515-386-4642.
Location: 401 W Mckinley St, Jefferson, IA, 50129-0438
Provider Profile Details
NPI Number
1003887639
Provider Name
Genesis Development
Credential
Provider Entity Type
Organization
Address
401 W Mckinley St, Jefferson, IA, 50129-0438
Phone Number
515-386-3017
Fax Number
515-386-4642
Provider Enumeration Date
01/31/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465401 | 05 | IA | |
| 0465419 | 05 | IA | |
| 1232363 | 05 | IA | |
| 0280529 | 05 | IA | |
| 0465435 | 05 | IA | |
| 0428656 | 05 | IA | |
| 0465393 | 05 | IA | |
| 0243121 | 05 | IA | |
| 0465534 | 05 | IA | |
| 0110726 | 05 | IA | |
| 0232363 | 05 | IA | |
| 0245829 | 05 | IA | |
| 0890007 | 05 | IA | |
| 15-08-003 | 01 | IA | NON POS AGREEMENT NUMBER |
| 0245811 | 05 | IA | |
| 0894865 | 05 | IA | |
| 1245811 | 05 | IA | |
| 0290353 | 05 | IA |
Provider Business Practice Location Address Details
Address
401 W Mckinley St
City
State
Zip
50129-1421
Phone Number
515-386-3017
Fax Number
515-386-4642
Provider Business Mailing Address Details
Address
401 W Mckinley St
City
State
Zip
50129-1421
Phone Number
515-386-3017
Fax Number
515-386-4642
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Provider's Taxonomy Details 5
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 8
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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