Healthcare Provider Details

I. General information

NPI: 1457830036
Provider Name (Legal Business Name): GENERATIONS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 CROWDER BLVD STE B
NEW ORLEANS LA
70127
US

IV. Provider business mailing address

8000 CROWDER BLVD STE B
NEW ORLEANS LA
70127-1065
US

V. Phone/Fax

Practice location:
  • Phone: 504-510-2906
  • Fax: 504-510-2850
Mailing address:
  • Phone: 504-510-2906
  • Fax: 504-510-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH GENE MCGRUDER SR.
Title or Position: PRESIDENT/CEO
Credential: MPA
Phone: 504-510-2906