NPI

Genesis Corporation

Doing business as Genesis Developmental Services. NPI 1679569115

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2005-09-20
Last updated
2020-08-22

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Specialties

Licenses

License CA
020000583

Location

Practice location
3336 Bridle Dr
City
Hayward CA
Postal code
94541-5706
Phone
(510) 582-2873

Organization contact

Name
Pamela Graham
Title
Controller
Phone
(805) 489-9472

Medicare

PECOS
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LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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