1558558791 NPI number — GENERATIONS HOME CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558558791 NPI number — GENERATIONS HOME CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENERATIONS HOME CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558558791
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 PENNS WAY
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-2407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-322-3100
Provider Business Mailing Address Fax Number:
302-322-2730

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1125 FORREST AVE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19904-3483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-734-7005
Provider Business Practice Location Address Fax Number:
302-734-1826
Provider Enumeration Date:
10/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
AUSTIN
Authorized Official First Name:
P
Authorized Official Middle Name:
Authorized Official Title or Position:
EXEC DIRECTOR
Authorized Official Telephone Number:
302-322-3100

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHAS-004 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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