OrganizationActive
Genesis Corporation
NPI 1679569115 · Intellectual Disabilities Intermediate Care Facility · Hayward, CA
Provider details
- NPI number
- 1679569115
- 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
Detailed profile(91/100 index)
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
3336 Bridle Dr
Hayward, CA 94541-5706
Phone: (510) 582-2873
Fax: (510) 582-4463
Street-level locationGet directions
Mailing address
Po Box 626
Pismo Beach, CA 93448-0626
Other names (DBA / former)
- Doing business as
- Genesis Developmental Services
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 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.