Genesis Developmental Services
LBN: Genesis Corporation
Genesis Developmental Services is an health care organization with primary practice located at 273 Mooncrest Ln , Santa Maria CA 93455-3713. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Genesis Corporation can be contacted via phone (805) 937-5224, or through Graham, Pamela via phone (805) 489-9472.
Contact Information
Primary practice address
273 Mooncrest Ln
Santa Maria CA 93455-3713
Phone: (805) 937-5224
Fax: (805) 934-0860
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | California |
Profile Details
NPI number | 1043206576 |
---|---|
LBN Legal business name | Genesis Corporation |
DBA Doing business as | Genesis Developmental Services |
Authorized official | Graham, Pamela |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043206576 | NPPES |
California | MEDICAID | LTC80923F |
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