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NPI Code Detail

MEDICARE: GENERATIONS HOME CARE, LLC

MEDICARE: GENERATIONS HOME CARE, LLC
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
1251E00000XHome Health AgencyMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123369OTHERMIGREAT LAKES HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3013445OTHERMIMIDWEST HEALTH PLAN
42E036OTHERMIBCBS

General Provider Information

NPI Number : 1023014875
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERATIONS HOME CARE, LLC
Provider Business Mailing Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. VINCENT SALVIA
Credential : BS, MBA
Telephone Number : 248-844-9650
Provider Enumeration Date : 06/27/2005
Last Update Date : 06/14/2012

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Directions to “GENERATIONS HOME CARE, LLC ” Practice Location

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