Provider Demographics
NPI:1023014875
Name:GENERATIONS HOME CARE, LLC
Entity Type:Organization
Organization Name:GENERATIONS HOME CARE, LLC
Other - Org Name:ALLIANCE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVIA
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MBA
Authorized Official - Phone:248-844-9650
Mailing Address - Street 1:1613 STAR BATT DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3706
Mailing Address - Country:US
Mailing Address - Phone:248-844-9650
Mailing Address - Fax:248-844-9651
Practice Address - Street 1:1613 STAR BATT DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3706
Practice Address - Country:US
Practice Address - Phone:248-844-9650
Practice Address - Fax:248-844-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI123369OtherGREAT LAKES HEALTH PLAN
MI3398140-15Medicaid
MI013445OtherMIDWEST HEALTH PLAN
MI2E036OtherBCBS
MI3398140-15Medicaid