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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 Agency237425MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1237425OTHERMIMEDICARE CMS

General Provider Information

NPI Number : 1861774135
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 : 248-844-9663
Fax Number : 248-844-9652
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 : 248-844-9663
Fax Number : 248-844-9652
Authorized Official
Title or Position : CEO
Name : MR. VINCENT FELICE SALVIA
Credential : MBA
Telephone Number : 248-844-9663
Provider Enumeration Date : 09/13/2011
Last Update Date : 09/13/2011

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