Jenesis Living LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

JENESIS LIVING LLC

Practice address

3403 Amanda CT NW
Cedar Rapids, IA 52405-1961

Phone

(269) 999-0321

NPI assigned

Jun 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jackline Mmbaga

Title

Managing Member

Phone

(269) 285-3352

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1285521922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 AMANDA CT NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051961",
            "telephone_number": "269-999-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 AMANDA CT NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051961",
            "telephone_number": "269-999-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENESIS LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "MMBAGA",
        "authorized_official_first_name": "JACKLINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "269-285-3352"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jayne
• Jeannie M. Collins DDS
• Diana M Jeffrey, ARNP
• Levi Jellison, PHARMD
• Jennifer Leigh Jenatscheck, PTA
• Bharat Jenigiri, MD
• Jenkins Chiropractic and Wellness Center
• Angela Danelle Jenkins, CCC-A
• Julia Renee Jenkins, RN
• Logan Jack Jenkins, D.C.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.