Provider Demographics
NPI:1093449118
Name:GENERATIONS
Entity Type:Organization
Organization Name:GENERATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:405-609-7566
Mailing Address - Street 1:3500 S BOULEVARD
Mailing Address - Street 2:STE C-10
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013
Mailing Address - Country:US
Mailing Address - Phone:405-651-8462
Mailing Address - Fax:405-340-0383
Practice Address - Street 1:3500 S BOULEVARD
Practice Address - Street 2:STE C-10
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013
Practice Address - Country:US
Practice Address - Phone:405-651-8462
Practice Address - Fax:405-340-0383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty