Healthcare Provider Details

I. General information

NPI: 1275458291
Provider Name (Legal Business Name): GENERATIONAL HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 DAWN DR
DECATUR GA
30032-6351
US

IV. Provider business mailing address

2550 DAWN DR
DECATUR GA
30032-6351
US

V. Phone/Fax

Practice location:
  • Phone: 404-798-8453
  • Fax: 404-798-8453
Mailing address:
  • Phone: 404-798-8453
  • Fax: 404-798-8453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDAN FOUNTAINE
Title or Position: FOUNDER
Credential:
Phone: 404-798-8453