Genesis Corporation
NPI 1023004561 · Intellectual Disabilities Intermediate Care Facility · San Lorenzo, CA
Genesis Corporation is a Intellectual Disabilities Intermediate Care Facility organization in San Lorenzo, CA (NPI 1023004561).
Provider details
- NPI number
- 1023004561
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Graham, Controller(805) 489-9472
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Genesis Developmental Services
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Genesis Corporation's NPI number?
- Genesis Corporation's National Provider Identifier (NPI) is 1023004561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Corporation?
- Genesis Corporation is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Genesis Corporation located?
- Genesis Corporation's practice location on file with NPPES is 17096 Via Flores, San Lorenzo, CA 94580-2915.
- What is Genesis Corporation's phone number?
- The practice phone number listed in the NPPES registry for Genesis Corporation is (510) 276-8442.
- Who is the authorized official for Genesis Corporation?
- The authorized official listed on Genesis Corporation's NPPES record is Pamela Graham, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Corporation's NPI active?
- Yes — Genesis Corporation's NPI (1023004561) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.