Healthcare Provider Details

I. General information

NPI: 1194279422
Provider Name (Legal Business Name): GENERATIONS ELDER CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CHILI AVE
ROCHESTER NY
14624-3327
US

IV. Provider business mailing address

179 STENSON ST
ROCHESTER NY
14606-3029
US

V. Phone/Fax

Practice location:
  • Phone: 585-613-7579
  • Fax: 585-429-2100
Mailing address:
  • Phone: 585-254-8160
  • Fax: 585-647-8450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. BRIDGET A. SHUMWAY
Title or Position: PRESIDENT
Credential:
Phone: 585-254-8160