MEDICARE: GENERATIONS SPECIALTY SERVICES, 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	261QA0600X	Adult Day Care Clinic/Center	670	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861510919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATIONS SPECIALTY SERVICES, LLC

Provider Business Mailing Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-478-8600
Fax Number	:	816-478-8841

Provider Business Practice Location Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-478-8600
Fax Number	:	816-478-8841

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. PATRICIA EILEEN SARGENT
Credential	:	R.N.
Telephone Number	:	816-478-8600

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	12/30/2010

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Directions to “GENERATIONS SPECIALTY SERVICES, LLC ” Practice Location

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