OrganizationActive
Jenesis Living LLC
NPI 1285521922 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cedar Rapids, IA
Provider details
- NPI number
- 1285521922
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackline Mmbaga, Managing Member(269) 285-3352
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3403 Amanda Ct Nw
Cedar Rapids, IA 52405-1961
Phone: (269) 999-0321
Approximate (ZIP-level) locationGet directions
Mailing address
3403 Amanda Ct Nw
Cedar Rapids, IA 52405-1961
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.