OrganizationActive
Genesis Community Resource Center
NPI 1013231117 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Saint John, IN
Provider details
- NPI number
- 1013231117
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shanda Evans, Administrator(219) 884-1402
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
11616 Barberry Ct
Saint John, IN 46373-9690
Phone: (708) 654-6324
Approximate (ZIP-level) locationGet directions
Mailing address
320 W Ridge Rd
Gary, IN 46408-2735
Other names (DBA / former)
- Doing business as
- Genesis Home Health Care Services
Registry dates
- Enumerated
- 2010-03-17
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.