Healthcare Provider Details

I. General information

NPI: 1053456012
Provider Name (Legal Business Name): GENERATIONS ADULT DAY HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E NEW YORK AVE
SOMERS POINT NJ
08244-2341
US

IV. Provider business mailing address

40 E NEW YORK AVE
SOMERS POINT NJ
08244-2341
US

V. Phone/Fax

Practice location:
  • Phone: 609-653-9700
  • Fax:
Mailing address:
  • Phone: 609-653-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number018101
License Number StateNJ

VIII. Authorized Official

Name: MRS. CHRISTA A CALDARALE-AHEARN
Title or Position: CHIEF EXECUTIVE OFFICER,OWNER,ADMIN
Credential: RN, MS
Phone: 609-653-9700