MEDICARE: GENERATIONS TOO, 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
1	251E00000X	Home Health Agency	1853117	OH

General Provider Information

NPI Number	:	1730317207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATIONS TOO, LLC

Provider Business Mailing Address
First Line	:	4889 SINCLAIR RD
Second Line	:	SUITE 108B
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5432
Country	:	US
Telephone Number	:	614-440-6231
Fax Number	:	614-431-0505

Provider Business Practice Location Address
First Line	:	4889 SINCLAIR RD
Second Line	:	SUITE 108B
City	:	COLUMBUS
State	:	OH
Zip	:	43229-5432
Country	:	US
Telephone Number	:	614-440-6231
Fax Number	:	614-431-0505

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. SABATHA BEATRICE UMOETTE
Credential	:	REGISTERED NURSE
Telephone Number	:	614-440-6231

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	06/23/2009

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