MEDICARE: GENERA CARE SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	251E00000X	Home Health Agency
3	251J00000X	Nursing Care Agency
4	372600000X	Adult Companion

General Provider Information

NPI Number	:	1558206102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERA CARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4720 SALISBURY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6101
Country	:	US
Telephone Number	:	904-339-5938
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 SALISBURY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6101
Country	:	US
Telephone Number	:	904-339-5938
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANTI MITCHELL
Credential	:	CNA
Telephone Number	:	904-339-5938

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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