GENESIS DTC, LLC — NPI 1942686258 (Licensed & Credentialed Day Training, Developmentally Disabled Services in GENOA, IL)

CMS-1500 Box 24J / 33a • NPI

1942686258

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251C00000X

Licensed & Credentialed Day Training, Developmentally Disabled Services

Box 32 Service Location & ZIP+4

350 SYCAMORE RD, GENOA, IL, 60135-1361

✓ 9-Digit EDI 837 ZIP+4 (60135-1361)

Practice Phone & Referral Fax

(815) 784-5146

Fax: (815) 784-4673

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942686258 (GENESIS DTC, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942686258` (NPI-2 Organization / Facility)
Provider / Legal Name	GENESIS DTC, LLC
Plain-English Specialty	Licensed & Credentialed Day Training, Developmentally Disabled Services NUCC Code: `251C00000X` (Day Training, Developmentally Disabled Services)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	350 SYCAMORE RD, GENOA, IL, 60135-1361
Practice Telephone / Fax	Tel: (815) 784-5146 \| Fax: (815) 784-4673
Administrative Mailing Address	350 SYCAMORE RD, GENOA, IL, 60135-1361
Enumeration & Last Sync	Enumerated: 2015-08-10 \| CMS Record Updated: 2015-08-10
Authorized Official	DESIREE JOHNSON (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

350 SYCAMORE RD, GENOA, IL, 60135-1361

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Plain-English Taxonomy & CMS Crosswalk (251C00000X)

What Does Taxonomy Code 251C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251C00000X translates to:
"Licensed & Credentialed Day Training, Developmentally Disabled Services"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Day Training, Developmentally Disabled Services for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GENESIS DTC, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251C00000X` — Day Training, Developmentally Disabled Services Plain English: Licensed & Credentialed Day Training, Developmentally Disabled Services	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GENESIS DTC, LLC (NPI #1942686258)