MEDICARE: GENERATIONS & WELLNESS HOMECARE SERVICES

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1699608356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATIONS & WELLNESS HOMECARE SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 62643
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33906-2643
Country	:	US
Telephone Number	:	239-896-7809
Fax Number	:

Provider Business Practice Location Address
First Line	:	3592 BROADWAY STE 130
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8056
Country	:	US
Telephone Number	:	239-896-7809
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LATASHA CARTER
Credential	:
Telephone Number	:	239-896-7809

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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