MEDICARE: PROJECT NEW GENERATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073404059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROJECT NEW GENERATION LLC

Provider Business Mailing Address
First Line	:	9029 N 51ST AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4210
Country	:	US
Telephone Number	:	602-391-5038
Fax Number	:

Provider Business Practice Location Address
First Line	:	9029 N 51ST AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4210
Country	:	US
Telephone Number	:	602-391-5038
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GEORGE GUERRERO
Credential	:
Telephone Number	:	602-391-5038

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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